Provider Demographics
NPI:1790158285
Name:ZILBERMAN, MAX (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:
Last Name:ZILBERMAN
Suffix:
Gender:M
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 S TIMBER RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2874
Mailing Address - Country:US
Mailing Address - Phone:267-229-6430
Mailing Address - Fax:
Practice Address - Street 1:84 S TIMBER RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2874
Practice Address - Country:US
Practice Address - Phone:267-229-6430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014138225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist