Provider Demographics
NPI:1225414634
Name:MOHMAND, SAMIRA (MSW, MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SAMIRA
Middle Name:
Last Name:MOHMAND
Suffix:
Gender:F
Credentials:MSW, MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 W OAKELLAR AVE # 130341
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3114
Mailing Address - Country:US
Mailing Address - Phone:310-844-3787
Mailing Address - Fax:
Practice Address - Street 1:4520 W OAKELLAR AVE # 130341
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3114
Practice Address - Country:US
Practice Address - Phone:310-844-3787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-07
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation