Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 022685-1 | NY |
NPI | 1003398140 |
---|---|
Provider Name | Emily Snyder |
First Address | Holland, NY 14080-9630 |
Second Address | Springville, NY 14141-9652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2018 |
Last Update Date | 05/09/2018 |