Provider Demographics
NPI:1114530441
Name:LAPHAM-SOLIS, BEATRIZ ADRIANA (DPT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:ADRIANA
Last Name:LAPHAM-SOLIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 GOLFVIEW LN
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5587
Mailing Address - Country:US
Mailing Address - Phone:323-787-7185
Mailing Address - Fax:
Practice Address - Street 1:1836 GOLFVIEW LN
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5587
Practice Address - Country:US
Practice Address - Phone:323-787-7185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019658225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist