Provider Demographics
NPI:1285209528
Name:SOLOMON, JOY LAUDENHEIMER (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:LAUDENHEIMER
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7329 WOLVERINE ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1521
Mailing Address - Country:US
Mailing Address - Phone:318-286-2564
Mailing Address - Fax:
Practice Address - Street 1:7329 WOLVERINE ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1521
Practice Address - Country:US
Practice Address - Phone:318-286-2564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12032502251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics