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Samuel Capers III, OTR/L

Occupational Therapist in La Jolla, CA. Individual provider (NPI-1).

NPI number1982177119
StatusActive
Last updated in NPPESMay 13, 2026

Details

NPI
1982177119
Entity type
Individual (NPI-1)
Name
Samuel Capers III
Credential
OTR/L
Sex
Male
Sole proprietor
No
Enumeration date
Jan 10, 2019
Certification date
May 13, 2026
Last updated
May 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist41047NYYes
225X00000X Occupational Therapist4039NM

Practice location

4225 Executive Sq Ste 1500
La Jolla, CA 92037-1487

Phone 858-248-4947

Mailing address

12836 233rd St
Rosedale, NY 11422-1051

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