Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM PAGUNTALAN DEPASUPIL, PTA
ActiveSAM PAGUNTALAN DEPASUPIL, PTA is a Occupational Therapist healthcare provider located in NEW MILFORD, New Jersey. NPI 1720467020 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · NEW MILFORD, NJ
Registration Details
- NPI Number
- 1720467020
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2015 (11.275883797358 yrs)
- Last Updated
- May 20, 2015
- Licenses
-
40QB00308200 (NJ)009595-1 (NY)
Practice Information
- Address
-
261 EAGLE AVENEW MILFORD, NJ, 076461709Browse NJ providers · Browse ZIP 07646
- Phone
- 2018512239
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.