Healthcare Provider Details

I. General information

NPI: 1184914137
Provider Name (Legal Business Name): ELLE S.-W. POSTEN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 NE 123RD ST
NORTH MIAMI FL
33181-2902
US

IV. Provider business mailing address

2108 NE 123RD ST
NORTH MIAMI FL
33181-2902
US

V. Phone/Fax

Practice location:
  • Phone: 305-967-8976
  • Fax:
Mailing address:
  • Phone: 305-967-8976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT14623
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT14623
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: