Provider Demographics
NPI:1679232987
Name:SNYDAR, PATRICIA VIVIAN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:VIVIAN
Last Name:SNYDAR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 E SOLIERE AVE APT 145
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-7672
Mailing Address - Country:US
Mailing Address - Phone:360-927-3480
Mailing Address - Fax:
Practice Address - Street 1:1521 N PINE CLIFF DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3269
Practice Address - Country:US
Practice Address - Phone:928-440-2350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist