Provider Demographics
NPI:1972769495
Name:SNYDER, ELIZABETH BROWN (MS OTR/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BROWN
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201A SAMS POINT RD
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29907-2015
Mailing Address - Country:US
Mailing Address - Phone:843-379-5190
Mailing Address - Fax:
Practice Address - Street 1:201A SAMS POINT RD
Practice Address - Street 2:INDEPENDENT AGAIN
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-2015
Practice Address - Country:US
Practice Address - Phone:843-379-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2802225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist