Provider Demographics
NPI:1366607418
Name:SOLOMON, AMY H (MS, OTR)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:H
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9568 LA QUINTA DR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-4202
Mailing Address - Country:US
Mailing Address - Phone:303-649-9031
Mailing Address - Fax:
Practice Address - Street 1:6535 S DAYTON ST
Practice Address - Street 2:SUITE 3800
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-6125
Practice Address - Country:US
Practice Address - Phone:303-649-9007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2208OtherREGISTRATION