Provider Demographics
NPI:1568584910
Name:SNELLING, WENDY RENEE (OTR)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:RENEE
Last Name:SNELLING
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 NOA ST
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-4004
Mailing Address - Country:US
Mailing Address - Phone:765-376-2741
Mailing Address - Fax:
Practice Address - Street 1:856 NOA ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-4004
Practice Address - Country:US
Practice Address - Phone:765-376-2741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002516A225X00000X
FLOT19811225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist