Provider Demographics
NPI:1376616474
Name:ASHER, SUZANNE SNYDER (COTAL)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:SNYDER
Last Name:ASHER
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:MRS
Other - First Name:SUZANNE
Other - Middle Name:ASHER
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTAL
Mailing Address - Street 1:152 GOLFCREST LN
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5665
Mailing Address - Country:US
Mailing Address - Phone:865-482-6082
Mailing Address - Fax:
Practice Address - Street 1:120 CAVETTE HILL LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-6673
Practice Address - Country:US
Practice Address - Phone:865-777-4000
Practice Address - Fax:865-777-1470
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN789224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant