Most Relevant Information
Provider Data
| NPI Number: | 1003291022 |
| Provider Name: | DANA SOLOMON OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 252Y00000X |
| Specialty: | Early Intervention Provider Agency |
| License Number: | 1922174226 |
Most Important Dates
| Enumeration Date: | 07/21/2015 |
| Last Updated: | 07/21/2015 |
Provider Practice Location
103 JOHNSON ST
LYNN
MA
019024001
Practice Location Phone/Fax
| Phone: | 7815932727 |
| Fax: | 7815932542 |
Provider Mailing Location
103 JOHNSON ST
LYNN
MA
019024001
Provider Mailing Phone/Fax
| Phone: | 7815932727 |
| Fax: | 7815932542 |