Individual
MRS. MICHELLE MARIE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
GIRDLE ROAD, ELMA, NY 14059
(716) 652-3000
Mailing address
25 LIBERTY ST, BATAVIA, NY 14020-3246
(585) 343-1840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004724-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004724-1
THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPT.
NY
01
—
1037114
NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY
NY
Enumeration date
09/24/2008
Last updated
09/24/2008
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