Individual
KOURTNEY SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-3990
Mailing address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-3990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007740
MI
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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