Healthcare Provider Details

I. General information

NPI: 1083480792
Provider Name (Legal Business Name): ANGELA TURPIN SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 MISSOURI AVE
JEFFERSONVILLE IN
47130-3725
US

IV. Provider business mailing address

419 SOUTHERN HILLS DR
BORDEN IN
47106-8511
US

V. Phone/Fax

Practice location:
  • Phone: 812-283-2003
  • Fax:
Mailing address:
  • Phone: 502-649-5819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05006031A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: