Individual provider · Type 1 NPI

Samantha Marie Proctor, OTDR/L

Occupational Therapist · Maple Grove, MN

NPI number 1508696048 Active

Practice location

9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684

Mailing address

11117 Hillsboro Ave N
Champlin, MN 55316-3128

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X107536 (MN)

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 1508696048

Samantha Marie Proctor, OTDR/L's National Provider Identifier is 1508696048, issued on Aug 7, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 18, 2024.