Provider Demographics
NPI:1811439425
Name:SNOWDEN, CAITLIN CORINNE (M OT)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:CORINNE
Last Name:SNOWDEN
Suffix:
Gender:F
Credentials:M OT
Other - Prefix:MISS
Other - First Name:CAITLIN
Other - Middle Name:CORINNE
Other - Last Name:NEVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M OT
Mailing Address - Street 1:833 K ST
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-1138
Mailing Address - Country:US
Mailing Address - Phone:360-600-2004
Mailing Address - Fax:
Practice Address - Street 1:833 K ST
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-1138
Practice Address - Country:US
Practice Address - Phone:360-600-2004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA311417225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand