Provider Demographics
NPI:1568943389
Name:SOLIS, JOSHUA (COTA/L)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:SOLIS
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 RAYMOND JAYS RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-2114
Mailing Address - Country:US
Mailing Address - Phone:915-760-1986
Mailing Address - Fax:
Practice Address - Street 1:5113 RAYMOND JAYS RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-2114
Practice Address - Country:US
Practice Address - Phone:915-760-1986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212706225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation