Provider Demographics
NPI:1720457468
Name:POSADA, ERINNE GAILE OYO (OTR/L)
Entity Type:Individual
Prefix:
First Name:ERINNE GAILE
Middle Name:OYO
Last Name:POSADA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BHENG
Other - Middle Name:
Other - Last Name:POSADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3589 W BENJAMIN HOLT DR APT 183
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-3468
Mailing Address - Country:US
Mailing Address - Phone:219-775-7907
Mailing Address - Fax:
Practice Address - Street 1:3589 W BENJAMIN HOLT DR APT 183
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-3468
Practice Address - Country:US
Practice Address - Phone:219-775-7907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004897A225X00000X
CA16706225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist