Individual
MARLENE S SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS, SCLV, CDE
Contact information
Practice address
18433 SIERRA LN, NEWALLA, OK 74857-8449
(405) 391-2115
Mailing address
18433 SIERRA LN, NEWALLA, OK 74857-8449
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
21801092
OK
171W00000X
Contractor
OT802
OK
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
802
OK
225XL0004X
Low Vision Occupational Therapist
Primary
802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200051810B
—
OK
01
—
21801092
NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS
—
Enumeration date
01/25/2007
Last updated
02/03/2020
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