Provider Demographics
NPI:1063281822
Name:SNADER, MADELYNE BREANN (OTRL)
Entity type:Individual
Prefix:
First Name:MADELYNE
Middle Name:BREANN
Last Name:SNADER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-8419
Mailing Address - Country:US
Mailing Address - Phone:717-413-7217
Mailing Address - Fax:
Practice Address - Street 1:90 GEORGE ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-3161
Practice Address - Country:US
Practice Address - Phone:610-775-1431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC019706225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist