Lorena Olinda Solis, PTA

Individual provider Active NPI Physical Therapy Assistant · Cotulla, TX

NPI 1205101433 · NPPES record last updated Mar 21, 2012

Key facts

NPI
1205101433
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2016762 (TX)
Practice address
369 Mars Dr
Cotulla, TX 78014-3146
Phone
(830) 879-4483
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2016762TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2016762 TX Yes

Addresses

Primary practice location

369 Mars Dr
Cotulla, TX 78014-3146

Mailing address

3119 Silhouette Dr
Laredo, TX 78045-8636
Phone (956) 336-5241

Other providers in Cotulla, TX

All providers in Cotulla, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.