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NPI 1811777535

NPI 1811777535 : SAMANTHA SNYDER PT, DPT : SOUTH PASADENA, FL

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General NPI Number Information
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    NPI Number           |    1811777535
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA SNYDER PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2023
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    1615 PASADENA AVE S STE 150 
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    City                 |    SOUTH PASADENA
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    State                |    FL
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    Zip                  |    33707-4517
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    Country              |    US
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    Telephone            |    727-527-5272
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    Fax                  |    727-522-7412
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Provider Business Mailing Address
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    Address Line         |    5901 E FOWLER AVE STE 100 
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    City                 |    TEMPLE TERRACE
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    State                |    FL
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    Zip                  |    33617-2305
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    Country              |    US
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    Telephone            |    443-243-4489
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT40897
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    License Number State |    FL
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