Provider Demographics
NPI:1558140947
Name:SOLAREZ, MARAHYA
Entity Type:Individual
Prefix:
First Name:MARAHYA
Middle Name:
Last Name:SOLAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 S BARRINGTON
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-5315
Mailing Address - Country:US
Mailing Address - Phone:602-710-6208
Mailing Address - Fax:
Practice Address - Street 1:2066 S BARRINGTON
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-5315
Practice Address - Country:US
Practice Address - Phone:602-710-6208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTA-047142224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant