MEDICARE: MRS. RUTH ANNE SNYDER OT, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	01045	MD
2	225X00000X	Occupational Therapist	OC010295	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52-0954463	OTHER	MD	KAISER PERMANENTE

General Provider Information

NPI Number	:	1558464867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUTH ANNE SNYDER OT, CHT

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:	KAISER PERMANENTE MEDICARE ENROLLMENT
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 YORK RD STE 100
Second Line	:	KAISER PERMANENTE TOWSON MEDICAL CENTER
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6074
Country	:	US
Telephone Number	:	410-339-5588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	12/28/2011

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