NPI 1023656360

Samantha Miller, COTAL

Practitioner Occupational Therapy Assistant Hampton, VA

Practice location

Address: 1062 W Mercury Blvd # B, Hampton, VA 23666-1068
Phone: (757) 644-0644
Mailing address: 4454 Old Squaw Ln, Gloucester, VA 23061-3644

Registered specialties (3)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0131003078 (VA)

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Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OP009724 (PA)

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 46TA09186600 (NJ)

Registry record

NPI: 1023656360
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2019
Record last updated: 16 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.