Healthcare Provider Details

I. General information

NPI: 1134095599
Provider Name (Legal Business Name): MAGGIE SNIDER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 EBENEZER RD
ROCK HILL SC
29732-1189
US

IV. Provider business mailing address

1803 EBENEZER RD
ROCK HILL SC
29732-1189
US

V. Phone/Fax

Practice location:
  • Phone: 803-620-9702
  • Fax: 803-620-9722
Mailing address:
  • Phone: 803-620-9702
  • Fax: 803-620-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7778
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: