Provider Demographics
NPI:1184239097
Name:SILVERMAN, DEBRA (OTR/L)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:616 STIRLING AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3634
Mailing Address - Country:US
Mailing Address - Phone:917-272-4258
Mailing Address - Fax:
Practice Address - Street 1:616 STIRLING AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3634
Practice Address - Country:US
Practice Address - Phone:917-272-4258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00927200225X00000X
NY024731-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist