Individual
MISS LORENA OLINDA SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
369 MARS DR, COTULLA, TX 78014-3146
(830) 879-4483
Mailing address
3119 SILHOUETTE DR, LAREDO, TX 78045-8636
(956) 336-5241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016762
TX
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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