Provider Demographics
NPI:1588220446
Name:ABACUS OT LLC
Entity Type:Organization
Organization Name:ABACUS OT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VINODAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERBER
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L
Authorized Official - Phone:305-318-9253
Mailing Address - Street 1:3815 NE 166TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3855
Mailing Address - Country:US
Mailing Address - Phone:305-318-9253
Mailing Address - Fax:
Practice Address - Street 1:3815 NE 166TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3855
Practice Address - Country:US
Practice Address - Phone:305-318-9253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty