National Provider Identifier
Samantha K Haggard, OTD, OTR/L
Samantha K Haggard, OTD, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 227-4421.
Profile Overview
- NPI
- 1972386647
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 16, 2023
- Last Updated
- December 30, 2024
Practice Location
- 15 Catherwood RD
- Ithaca, NY 14850-1071
Phone: (607) 227-4421
Mailing Address
- 601 Winston Ct Apt 2
- Ithaca, NY 14850-1958
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1972386647
- Entity Type
- Individual
- Last Name
- Haggard
- First Name
- Samantha
- Middle Name
- K
- Credential
- OTD, OTR/L
- Provider Other Last Name
- Reed
- Provider Other First Name
- Samantha
- Provider Other Middle Name
- K
- Provider Other Credential Text
- OTD, OTR/L
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 601 Winston Ct Apt 2
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1958
- Mailing Country
- US
- Mailing Phone
- (503) 964-4394
- Practice Street Address
- 15 Catherwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1071
- Practice Country
- US
- Practice Phone
- (607) 227-4421
- Enumeration Date
- August 16, 2023
- Last Updated
- December 30, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)