Individual
MONA-LIZA SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CORBETT LN, MELBOURNE, FL 32904-6435
(808) 753-5790
Mailing address
1300 CORBETT LN, MELBOURNE, FL 32904-6435
(808) 753-5790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15921
FL
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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