National Provider Identifier
Samantha Rae Willard, MS, OTR/L
Samantha Rae Willard, MS, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 815-4415.
Profile Overview
- NPI
- 1235005687
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 14, 2025
- Last Updated
- October 14, 2025
Practice Location
- 1585 Hertel Ave
- Buffalo, NY 14216-2997
Phone: (716) 815-4415
Mailing Address
- 93 Huron St
- Hamburg, NY 14075-6105
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1235005687
- Entity Type
- Individual
- Last Name
- Willard
- First Name
- Samantha
- Middle Name
- Rae
- Credential
- MS, OTR/L
- Mailing Street Address
- 93 Huron St
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-6105
- Mailing Country
- US
- Mailing Phone
- (716) 364-5674
- Practice Street Address
- 1585 Hertel Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-2997
- Practice Country
- US
- Practice Phone
- (716) 815-4415
- Enumeration Date
- October 14, 2025
- Last Updated
- October 14, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)