Healthcare Provider Details

I. General information

NPI: 1619307295
Provider Name (Legal Business Name): CHAYA SNYDER MS/OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 SURREY LN
WYNNEWOOD PA
19096-3819
US

IV. Provider business mailing address

1401 SURREY LN
WYNNEWOOD PA
19096-3819
US

V. Phone/Fax

Practice location:
  • Phone: 215-888-9199
  • Fax:
Mailing address:
  • Phone: 215-888-9199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC012986
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: