Provider Demographics
NPI:1780815175
Name:SOLOMON, ROWENA (LPT)
Entity Type:Individual
Prefix:
First Name:ROWENA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4347 W WYNDEMERE CIR
Mailing Address - Street 2:
Mailing Address - City:SCHNECKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18078-3537
Mailing Address - Country:US
Mailing Address - Phone:610-657-4818
Mailing Address - Fax:610-440-2271
Practice Address - Street 1:4347 W WYNDEMERE CIR
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-3537
Practice Address - Country:US
Practice Address - Phone:610-657-4818
Practice Address - Fax:610-440-2271
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009001E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist