Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | 057002697 | IL |
N | 224Z00000X | Occupational Therapy Assistant | 2005007868 | MO |
Y | 224Z00000X | Occupational Therapy Assistant | 919 | TN |
NPI | 1013131762 |
---|---|
Provider Name | Karen M Snyder |
First Address | Bell Buckle, TN 37020-4039 |
Second Address | Belleville, IL 62223-3808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 14/09/2016 |