Individual
MARIE MAZZOLA SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
7732 WORTHING ST, DALLAS, TX 75252-6448
(203) 530-6926
Mailing address
7732 WORTHING ST, DALLAS, TX 75252-6448
(203) 530-6926
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
003061
CT
2251P0200X
Pediatric Physical Therapist
Primary
1286083
TX
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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