Healthcare Provider Details

I. General information

NPI: 1356272678
Provider Name (Legal Business Name): DANIELLE SNAPE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 N MIDDLETOWN RD
MEDIA PA
19063-5505
US

IV. Provider business mailing address

124 GREEN VALLEY RD
UPPER DARBY PA
19082-1308
US

V. Phone/Fax

Practice location:
  • Phone: 610-891-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: