Provider Demographics
NPI:1306028139
Name:SNIDER, PATRICIA E (OTRL)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:E
Last Name:SNIDER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANNE
Other - Last Name:EVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L SIPTP
Mailing Address - Street 1:9063 DAWN CT
Mailing Address - Street 2:
Mailing Address - City:MYERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21773-7815
Mailing Address - Country:US
Mailing Address - Phone:240-357-5925
Mailing Address - Fax:
Practice Address - Street 1:215 DEPOT CT SE
Practice Address - Street 2:SUITE 350
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3017
Practice Address - Country:US
Practice Address - Phone:240-357-5925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02808225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics