Keisha Samuel

Occupational Therapy Assistant · Newark, NJ

Individual Active NPI

NPI number 1790321990

Practice location

776 S 18TH St Fl 2
Newark, NJ 07103-1050
Phone
(201) 878-2598

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NPI record

NPI
1790321990
Entity type
Individual (Type 1)
Enumeration date
November 22, 2019
Last updated
November 22, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 009963 NY

About Keisha Samuel

Keisha Samuel is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 776 S 18TH St Fl 2, Newark, NJ 07103-1050. The NPI number 1790321990 was assigned on November 22, 2019 and the record was last updated on November 22, 2019.

Keisha Samuel lists a license in the registry: #009963 (NY) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keisha Samuel?

The NPI number is 1790321990.

What is the phone number of Keisha Samuel?

The phone number listed for the practice location is (201) 878-2598.

Where is Keisha Samuel located?

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

What is the taxonomy code for Keisha Samuel?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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