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NPI Code Detail

MEDICARE: ROGER SCOTT SNYDER

MEDICARE: ROGER SCOTT SNYDER
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
1225200000XPhysical Therapy Assistant00752RI

General Provider Information

NPI Number : 1811673536
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER SCOTT SNYDER
Provider Business Mailing Address
First Line : 860 N QUIDNESSETT RD
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 860 N QUIDNESSETT RD
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-1000
Country : US
Telephone Number : 401-884-1802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2023
Last Update Date : 06/27/2023

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Directions to “ ROGER SCOTT SNYDER ” Practice Location

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