Provider Demographics
NPI:1598911588
Name:SOLOMON, DAVID (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 2ND ST PK
Mailing Address - Street 2:SUITE 145
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966
Mailing Address - Country:US
Mailing Address - Phone:215-494-2255
Mailing Address - Fax:215-494-2258
Practice Address - Street 1:283 2ND ST PK
Practice Address - Street 2:STE - 145
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966
Practice Address - Country:US
Practice Address - Phone:215-494-2255
Practice Address - Fax:215-494-2258
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist