Healthcare Provider Details

I. General information

NPI: 1750210753
Provider Name (Legal Business Name): ELIZABETH POINSETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MONTGOMERY AVE STE 310
PENN VALLEY PA
19072-1553
US

IV. Provider business mailing address

3701 CONSHOHOCKEN AVE APT 922
PHILADELPHIA PA
19131-5517
US

V. Phone/Fax

Practice location:
  • Phone: 610-660-8200
  • Fax: 610-660-8207
Mailing address:
  • Phone: 610-660-8200
  • Fax: 610-660-8208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC021445
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: