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Individual
MRS. JENNIFER ANN SNYDER
Active
Individual
MRS. JENNIFER ANN SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 017245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018098670001
—
PA
01
—
PT 017245
PT LICENSE
PA
Enumeration date
10/23/2006
Last updated
04/22/2015
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