Healthcare Provider Details

I. General information

NPI: 1477366813
Provider Name (Legal Business Name): MERIN SNAPP COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 SOUTH BLVD STE 310
VIRGINIA BEACH VA
23452-1160
US

IV. Provider business mailing address

760 CREPE MYRTLE LN
VIRGINIA BEACH VA
23455-5812
US

V. Phone/Fax

Practice location:
  • Phone: 757-490-3223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number0131002667
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: