Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Samantha Kathryn Polak, MS, OTR/L

Individual provider Occupational Therapist · NPI 1700556305

MS. Samantha Kathryn Polak, MS, OTR/L is an Occupational Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9520 Padgett St Ste 104
San Diego, CA 92126-4446
Phone: (858) 866-8133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 21013 (CA)

Record details

NPI number1700556305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021

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