Provider Demographics
NPI:1780896985
Name:SOLTYS, MARY LOTZ (OTR)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:LOTZ
Last Name:SOLTYS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 HAMMOND AVE
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1015
Mailing Address - Country:US
Mailing Address - Phone:410-526-6852
Mailing Address - Fax:
Practice Address - Street 1:4511 ROBOSSON RD
Practice Address - Street 2:CHAPEL HILL NURSING CENTER
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133
Practice Address - Country:US
Practice Address - Phone:410-922-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04386225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist