Provider Demographics
NPI:1336244680
Name:SOLORIO, PEDRO H (MPT)
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:H
Last Name:SOLORIO
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 DASCO WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1727
Mailing Address - Country:US
Mailing Address - Phone:916-928-8991
Mailing Address - Fax:
Practice Address - Street 1:1675 ALHAMBRA BLVD STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7047
Practice Address - Country:US
Practice Address - Phone:916-451-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28043225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist