Provider Demographics
NPI:1942264197
Name:SILVERMAN, MARCI F (OT)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:F
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 POPLAR LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30360-1659
Mailing Address - Country:US
Mailing Address - Phone:404-610-6018
Mailing Address - Fax:
Practice Address - Street 1:5975 ROSWELL RD NE STE C-333
Practice Address - Street 2:STABILITY PILATES AND PHYSICAL THERAPY
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4048
Practice Address - Country:US
Practice Address - Phone:404-303-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT001791225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA67BBBHCMedicare ID - Type Unspecified