Individual provider · Type 1 NPI

Samantha M. Mack, OTR

Occupational Therapist · Portland, ME

NPI number 1124632674 Active

Practice location

24 Hillcrest Cir
Portland, ME 04103-1443

Mailing address

744 W Swanzey Rd Apt 103
Swanzey, NH 03446-3353

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3051 (NH)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1124632674

Samantha M. Mack, OTR's National Provider Identifier is 1124632674, issued on Sep 2, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Portland, ME. The record was last updated on Sep 2, 2020.