Provider Demographics
NPI:1467233379
Name:JARSO, SOLOMON (OTD, MS,OTR/L)
Entity Type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:
Last Name:JARSO
Suffix:
Gender:M
Credentials:OTD, MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W ADA AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4241
Mailing Address - Country:US
Mailing Address - Phone:626-335-9810
Mailing Address - Fax:
Practice Address - Street 1:401 W ADA AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4241
Practice Address - Country:US
Practice Address - Phone:626-335-9810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT0063225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist