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NPI Code Detail

MEDICARE: MRS. REBECCA ALLEN SNOW OTR L

MEDICARE: MRS. REBECCA ALLEN SNOW OTR L
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
1225X00000XOccupational TherapistOT10791FL

General Provider Information

NPI Number : 1457341604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ALLEN SNOW OTR L
Provider Business Mailing Address
First Line : 1827 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-7605
Country : US
Telephone Number : 850-872-7022
Fax Number :
Provider Business Practice Location Address
First Line : 1827 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-7605
Country : US
Telephone Number : 850-872-7022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 09/18/2017

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Directions to “ MRS. REBECCA ALLEN SNOW OTR L” Practice Location

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