MEDICARE: LINDSAY SNYDER MS, 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
1	225X00000X	Occupational Therapist	9428	OH

General Provider Information

NPI Number	:	1588449359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY SNYDER MS, OTR/L

Provider Business Mailing Address
First Line	:	436 CHESTNUT ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 CHESTNUT ST
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5811
Country	:	US
Telephone Number	:	732-405-3335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	08/29/2023

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