Individual
GABRIELLE SNODGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7225 ALPENWOOD WAY, COLORADO SPRINGS, CO 80918-6319
(719) 216-7968
Mailing address
7225 ALPENWOOD WAY, COLORADO SPRINGS, CO 80918-6319
(719) 216-7968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
311859
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311859
MEDICARE
CO
Enumeration date
07/30/2013
Last updated
07/30/2013
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