Dustin Snider
Physical Therapist in Port Orange, FL. Individual provider (NPI-1).
NPI number1982114534
StatusActive
Last updated in NPPESOct 10, 2017
Details
- NPI
- 1982114534
- Entity type
- Individual (NPI-1)
- Name
- Dustin Snider
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2017
- Last updated
- Oct 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305211411 | VA | Yes |
| 225100000X | Physical Therapist | PT003808 | WV |
Practice location
5535 S Williamson Blvd Ste 774Port Orange, FL 32128-8321
Phone 888-265-2680 · Fax 386-944-7202
Mailing address
Po Box 203Thomas, WV 26292-0203
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All 168 Physical Therapist providers in Port Orange · All 1,907 providers in Port Orange
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