Provider Demographics
NPI:1235653478
Name:SNYDER, TALOR LYNN
Entity Type:Individual
Prefix:
First Name:TALOR
Middle Name:LYNN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 STEPHENS FORK RD
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:WV
Mailing Address - Zip Code:26150-7056
Mailing Address - Country:US
Mailing Address - Phone:304-489-3689
Mailing Address - Fax:
Practice Address - Street 1:953 STEPHENS FORK RD
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:WV
Practice Address - Zip Code:26150-7056
Practice Address - Country:US
Practice Address - Phone:304-489-3689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21402225X00000X
COCO.0004729225X00000X
NC10506225X00000X
WV1867225X00000X
FLOT18569225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist