Individual
DUSTIN SNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
(386) 944-7202
Mailing address
PO BOX 203, THOMAS, WV 26292-0203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211411
VA
225100000X
Physical Therapist
PT003808
WV
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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