Individual
MRS. MARCIA JEANNE POSTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1215 E ORANGE ST, LAKELAND, FL 33801-5762
(863) 802-3800
(863) 802-0480
Mailing address
2212 GATEWOOD ST, PLANT CITY, FL 33563-8853
(813) 473-4180
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 12581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15248601
CITRUS HEALTHCARE
FL
05
—
892001000
—
FL
01
—
OT 12581
FL PROF LICENSE
FL
01
—
Y905L
BCBS FL
FL
Enumeration date
02/05/2007
Last updated
06/25/2008
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