Individual
KEVIN WAYNE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
703 W SUNBIRD PATH, HERNANDO, FL 34442-5133
(808) 342-6295
Mailing address
703 W SUNBIRD PATH, HERNANDO, FL 34442-5133
(808) 342-6295
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001816
VA
224Z00000X
Occupational Therapy Assistant
Primary
18063
FL
Other
Enumeration date
11/14/2019
Last updated
06/07/2022
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