MEDICARE: SAMUEL DEWAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist		DE

General Provider Information

NPI Number	:	1174465496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL DEWAR

Provider Business Mailing Address
First Line	:	948 ALEXANDRIA WAY
Second Line	:
City	:	SMYRNA
State	:	DE
Zip	:	19977-2552
Country	:	US
Telephone Number	:	302-480-2004
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 CARTER DR
Second Line	:
City	:	MIDDLETOWN
State	:	DE
Zip	:	19709-5855
Country	:	US
Telephone Number	:	302-655-9494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ SAMUEL DEWAR ” Practice Location

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