Healthcare Provider Details

I. General information

NPI: 1750193926
Provider Name (Legal Business Name): MONICA LYNNE SNIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 COONPATH RD NE
LANCASTER OH
43130-9343
US

IV. Provider business mailing address

9490 SALEM CHURCH RD
CANAL WINCHESTER OH
43110-8982
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-7300
  • Fax:
Mailing address:
  • Phone: 614-316-4448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-001665
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: