Individual provider · Type 1 NPI

Samantha Nugroho, OTD, OTR/L

Occupational Therapist · Los Angeles, CA

NPI number 1720992373 Active

Practice location

12121 Wilshire Blvd Ste 206
Los Angeles, CA 90025-1176

Call (310) 709-3006 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X29597 (CA)

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 1720992373

Samantha Nugroho, OTD, OTR/L's National Provider Identifier is 1720992373, issued on Sep 30, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 30, 2026.