Individual provider · Type 1 NPI

Samantha S. Domingues, COTA/L

Occupational Therapy Assistant · Fountain Valley, CA

NPI number 1811242373 Active

Practice location

18350 Mount Langley St Ste 105
Fountain Valley, CA 92708-6923

Call (714) 965-2324 Map

Fax (714) 965-2684

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2068 (CA)

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 1811242373

Samantha S. Domingues, COTA/L's National Provider Identifier is 1811242373, issued on Jul 19, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 19, 2012.