Provider Demographics
NPI:1669512190
Name:POSZ, NANNETTE JOHNSON (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:NANNETTE
Middle Name:JOHNSON
Last Name:POSZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:NANNETTE
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:11507 HADLEY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2430
Mailing Address - Country:US
Mailing Address - Phone:913-338-3587
Mailing Address - Fax:
Practice Address - Street 1:11507 HADLEY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2430
Practice Address - Country:US
Practice Address - Phone:913-338-3587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006020304225X00000X
KS17-02856225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist