Provider Demographics
NPI:1780889378
Name:SNYDER, JAMIE ELLEN (COTA)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ELLEN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9493
Mailing Address - Country:US
Mailing Address - Phone:570-286-6533
Mailing Address - Fax:
Practice Address - Street 1:607 HEARTHSTONE LN
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-9663
Practice Address - Country:US
Practice Address - Phone:937-594-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP002967L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant