Individual
ELYSE S SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5347
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780728
—
AZ
Enumeration date
01/17/2013
Last updated
01/28/2013
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