Provider Demographics
NPI:1720277247
Name:SNIDER, DAWN MARIE (COTA/L)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:SNIDER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAYNESBORO HOSPITAL
Mailing Address - Street 2:501 EAST MAIN STREET
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268
Mailing Address - Country:US
Mailing Address - Phone:717-765-4000
Mailing Address - Fax:717-765-3489
Practice Address - Street 1:WAYNESBORO HOSPITAL
Practice Address - Street 2:501 EAST MAIN STREET
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268
Practice Address - Country:US
Practice Address - Phone:717-765-4000
Practice Address - Fax:717-765-3489
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP003104L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant