Provider Demographics
NPI:1851543375
Name:BERMAN, DEBORAH L (OTR/L)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:BERMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3725 LAWRENCEVILLE SUWANEE RD
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2320
Mailing Address - Country:US
Mailing Address - Phone:770-831-2313
Mailing Address - Fax:770-831-2778
Practice Address - Street 1:3725 LAWRENCEVILLE SUWANEE RD
Practice Address - Street 2:SUITE B-3
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-2320
Practice Address - Country:US
Practice Address - Phone:770-831-2313
Practice Address - Fax:770-831-2778
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT000561225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist