Provider Demographics
NPI:1477974897
Name:SOLTERO, AIDA NOEMI (MS, OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:NOEMI
Last Name:SOLTERO
Suffix:
Gender:F
Credentials:MS, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2189 EASTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5792
Mailing Address - Country:US
Mailing Address - Phone:805-844-2351
Mailing Address - Fax:
Practice Address - Street 1:1301 COMMERCIAL AVE UNIT 34
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7529
Practice Address - Country:US
Practice Address - Phone:805-844-2351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-02
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12515225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist