Provider Demographics
NPI:1639219900
Name:SOLTIS, ALISON NICOLE (MOT OTRL)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:NICOLE
Last Name:SOLTIS
Suffix:
Gender:F
Credentials:MOT OTRL
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:NICOLE
Other - Last Name:SOLTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT OTRL
Mailing Address - Street 1:14785 LAKEVIEW DR
Mailing Address - Street 2:#103
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462
Mailing Address - Country:US
Mailing Address - Phone:708-590-6455
Mailing Address - Fax:
Practice Address - Street 1:19065 HICKORY CREEK DR
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448
Practice Address - Country:US
Practice Address - Phone:708-478-5400
Practice Address - Fax:708-478-5300
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist