Individual
MRS. KELLY MARIE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 BROADWAY, FORT WAYNE, IN 46802-1402
(260) 425-3000
Mailing address
918 KENSINGTON BLVD, FORT WAYNE, IN 46805-5312
(260) 425-9753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
03/17/2018
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