Provider Demographics
NPI:1346391596
Name:SNIDER, PATRICIA JEFFERSON (MS OTRL)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JEFFERSON
Last Name:SNIDER
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CONOVER RD
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3228
Mailing Address - Country:US
Mailing Address - Phone:609-799-1533
Mailing Address - Fax:609-799-1370
Practice Address - Street 1:91 CONOVER RD
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3228
Practice Address - Country:US
Practice Address - Phone:609-799-1533
Practice Address - Fax:609-799-1370
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTR000156225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics