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NPI Code Detail

MEDICARE: JANICE LYNN SNYDER MS, OT

MEDICARE: JANICE LYNN SNYDER MS, OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational Therapist007695NY

General Provider Information

NPI Number : 1427618644
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LYNN SNYDER MS, OT
Provider Business Mailing Address
First Line : 235 HIGHLAND PKWY
Second Line :
City : TONAWANDA
State : NY
Zip : 14223-1407
Country : US
Telephone Number : 716-873-7263
Fax Number : 716-873-7290
Provider Business Practice Location Address
First Line : 235 HIGHLAND PKWY
Second Line :
City : TONAWANDA
State : NY
Zip : 14223-1407
Country : US
Telephone Number : 716-873-7263
Fax Number : 716-873-7290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 06/19/2019

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