Healthcare Provider Details

I. General information

NPI: 1316180979
Provider Name (Legal Business Name): MARIA DOROTHEA SNYMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 04/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 NAVCO RD. CROWNE HEALTHCARE OF MOBILE
MOBILE AL
36605
US

IV. Provider business mailing address

245 CAHABA VALLEY PKWY SUITE 200
PELHAM AL
35124-2216
US

V. Phone/Fax

Practice location:
  • Phone: 251-473-8684
  • Fax: 251-473-3793
Mailing address:
  • Phone: 205-942-6820
  • Fax: 205-942-5884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0827
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: