Provider Demographics
NPI:1902034838
Name:SPERBER, TERRI (MA/OTR/L)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:SPERBER
Suffix:
Gender:F
Credentials:MA/OTR/L
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:GAIL
Other - Last Name:SPERBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:36 MAPLE AVE
Mailing Address - Street 2:OCCUPATIONAL THERAPY
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1404
Mailing Address - Country:US
Mailing Address - Phone:917-952-4155
Mailing Address - Fax:
Practice Address - Street 1:130 N CENTRAL AVE
Practice Address - Street 2:OCCUPATIONAL THERAPY
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1910
Practice Address - Country:US
Practice Address - Phone:917-952-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008133-1225X00000X
CT03-581826225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist