Provider Demographics
NPI:1952087660
Name:SNYDER, MORGAN (COTA/L)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:RIVER
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22 MARSHALL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-2221
Mailing Address - Country:US
Mailing Address - Phone:717-466-4462
Mailing Address - Fax:
Practice Address - Street 1:100 ABBEYVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4604
Practice Address - Country:US
Practice Address - Phone:717-397-4261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP010415224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant