Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 4422 | OH |
NPI | 1003162421 |
---|---|
Provider Name | Abigail Grover Snook |
First Address | Cincinnati, OH 45244-3551 |
Second Address | Cincinnati, OH 45212-2244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2012 |
Last Update Date | 03/08/2012 |