| NPI | 1467828681 |
|---|---|
| Former Name | OLIVIA JULIE SNYDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025739) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7860) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2017-02-03 |