Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keisha Samuel

Individual provider Occupational Therapy Assistant · NPI 1790321990

Keisha Samuel is an Occupational Therapy Assistant in Newark, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

776 S 18th St Fl 2
Newark, NJ 07103-1050
Phone: (201) 878-2598
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 009963 (NY)

Record details

NPI number1790321990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2019
Last updated in NPPESNovember 22, 2019
Mailing address776 S 18th St Fl 2, Newark, NJ 07103-1050

Other providers in Newark