Individual provider · Type 1 NPI

Keisha Samuel

Occupational Therapy Assistant · Newark, NJ

NPI number 1790321990 Active

Practice location

776 S 18th St Fl 2
Newark, NJ 07103-1050

Call (201) 878-2598 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X009963 (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 1790321990

Keisha Samuel's National Provider Identifier is 1790321990, issued on Nov 22, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Newark, NJ. The record was last updated on Nov 22, 2019.