Provider Demographics
NPI:1114379104
Name:SOLOMON, CELINA (ATC)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LEWIS LN
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-5759
Mailing Address - Country:US
Mailing Address - Phone:206-450-5198
Mailing Address - Fax:
Practice Address - Street 1:9 LEWIS LN
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-5759
Practice Address - Country:US
Practice Address - Phone:206-450-5198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer