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

Samantha Leigh Tiedemann, OTR/L

Individual provider Occupational Therapist · NPI 1073167052

Samantha Leigh Tiedemann, OTR/L is an Occupational Therapist in Fullerton, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
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

233 Orangefair Mall
Fullerton, CA 92832-3038
Phone: (562) 760-8641
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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 23210 (CA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 23210 (CA)

Record details

NPI number1073167052
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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