Individual provider · Type 1 NPI

Samantha Herrell Bagnato, OTR/L

Occupational Therapist · Woodbridge, VA

NPI number 1164017927 Active

Practice location

2235 Tacketts Mill Dr # C
Woodbridge, VA 22192-3036

Mailing address

7315 Mendota Ave
Falls Church, VA 22042-1413

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200X0119008524 (VA)
Occupational Therapist Primary 225X00000X0119008524 (VA)

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 1164017927

Samantha Herrell Bagnato, OTR/L's National Provider Identifier is 1164017927, issued on Mar 3, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Woodbridge, VA. The record was last updated on Jan 11, 2022.