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Individual

THERESA LEE SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
334 MAIN ST, DICKSON CITY, PA 18519-1620
(570) 307-1769
(570) 307-1771
Mailing address
172 PIERCE RD, GREENFIELD TOWNSHIP, PA 18407-3802
(570) 222-2139
(570) 307-1771

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP001823L
PA

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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