Provider Demographics
NPI:1891019840
Name:SOLEIMANI, LAUREN SOFEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:SOFEN
Last Name:SOLEIMANI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:BETH
Other - Last Name:SOFEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:31045 HUNTERS WHIP LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1538
Mailing Address - Country:US
Mailing Address - Phone:248-444-0361
Mailing Address - Fax:
Practice Address - Street 1:31045 HUNTERS WHIP LN
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1538
Practice Address - Country:US
Practice Address - Phone:248-444-0361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-017704225100000X
MI5501016476225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist