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

MS. Samantha Jane Clark-Teague, OTA

Individual provider Occupational Therapy Assistant · NPI 1396161766

MS. Samantha Jane Clark-Teague, OTA is an Occupational Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014

Practice location Address checks out

5902 Hinsdale Ln
Fort Wayne, IN 46835-1237
Phone: (260) 494-7854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3060-35-1455 (IN)

Record details

NPI number1396161766
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESMarch 10, 2014

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