Individual provider · Type 1 NPI

Samantha Faye Gilmore, COTA

Occupational Therapy Assistant · Fredonia, NY

NPI number 1710866751 Active

Practice location

9520 Fredonia Stockton Rd
Fredonia, NY 14063-9518

Call (716) 672-4371 Map

Mailing address

6296 Haight Rd
Mayville, NY 14757-9733

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X008327-0 (NY)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1710866751

Samantha Faye Gilmore, COTA's National Provider Identifier is 1710866751, issued on Sep 2, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fredonia, NY. The record was last updated on Sep 2, 2025.