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

Samuel John Penkala, OTRL

Individual provider Occupational Therapist · NPI 1487143533

Samuel John Penkala, OTRL is an Occupational Therapist in Midland, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

304 W Wackerly St Ste 500
Midland, MI 48640-7264
Phone: (989) 832-4220
Fax: (989) 832-4207
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201009388 (MI)

Record details

NPI number1487143533
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESMay 4, 2018

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