Provider Demographics
NPI:1003498684
Name:SOLOMON, LINDSEY (PT, DPT, CSCS)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 SAUSALITO BLVD
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2328
Mailing Address - Country:US
Mailing Address - Phone:954-461-4913
Mailing Address - Fax:
Practice Address - Street 1:1900 EL CAMINO REAL STE A
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94027-4129
Practice Address - Country:US
Practice Address - Phone:954-461-4913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist