Healthcare Provider Details

I. General information

NPI: 1205977881
Provider Name (Legal Business Name): CHRISTINE N SNYDER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NIKKI SNYDER PT

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 SE 165TH MULBERRY LN
THE VILLAGES FL
32162-5884
US

IV. Provider business mailing address

505 SE SANCHEZ AVE
OCALA FL
34471-3826
US

V. Phone/Fax

Practice location:
  • Phone: 352-674-5000
  • Fax:
Mailing address:
  • Phone: 352-690-9830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0014350
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: