Individual
SHIANTI MARIE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
927 N MAIN ST, MARION, VA 24354-4117
(276) 783-7529
(276) 783-7555
Mailing address
952 COUNTRY CLUB RD, MARION, VA 24354-1508
(276) 492-7755
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001455
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760753545
—
VA
Enumeration date
08/12/2015
Last updated
09/20/2023
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