Provider Demographics
NPI:1447660238
Name:SNYDER, ERIC (OT/L)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SNYDER
Suffix:
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 PINEYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-2753
Mailing Address - Country:US
Mailing Address - Phone:336-475-9116
Mailing Address - Fax:
Practice Address - Street 1:706 PINEYWOOD RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2753
Practice Address - Country:US
Practice Address - Phone:336-475-9116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5918225X00000X
NCOT9660225X00000X
FLOT20866225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist