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NPI Code Detail

MEDICARE: TERRI L SNYDER PT

MEDICARE: TERRI L SNYDER PT
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
1225100000XPhysical Therapist2305005092VA

General Provider Information

NPI Number : 1902558414
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI L SNYDER PT
Provider Business Mailing Address
First Line : 10155 MARSHALL POND RD
Second Line :
City : BURKE
State : VA
Zip : 22015-3729
Country : US
Telephone Number : 571-215-7113
Fax Number :
Provider Business Practice Location Address
First Line : 7410 SPRING VILLAGE DR
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-4485
Country : US
Telephone Number : 703-913-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2022
Last Update Date : 01/25/2022

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