Individual provider · Type 1 NPI

Samantha Raven Jaconetti

Occupational Therapy Assistant · Marlton, NJ

NPI number 1912844309 Active

Practice location

769 Route 70 E Ste C175
Marlton, NJ 08053-2360

Mailing address

50 Jackson Rd
Berlin, NJ 08009-1611

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X46TA09266200 (NJ)

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 1912844309

Samantha Raven Jaconetti's National Provider Identifier is 1912844309, issued on May 2, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Marlton, NJ. The record was last updated on May 2, 2026.