Provider Demographics
NPI:1043402837
Name:SOLOMON, DEBORAH RAE (OTR)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RAE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:RAE
Other - Last Name:MARKHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 S WATER
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67213-4819
Mailing Address - Country:US
Mailing Address - Phone:316-682-4646
Mailing Address - Fax:316-263-4116
Practice Address - Street 1:2301 S WATER
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-4819
Practice Address - Country:US
Practice Address - Phone:316-682-4646
Practice Address - Fax:316-263-4116
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1702317225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist