Provider Demographics
NPI:1740376847
Name:SILBERMAN, SUSAN H (OTR,CHT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:H
Last Name:SILBERMAN
Suffix:
Gender:F
Credentials:OTR,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ARCADE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-2486
Mailing Address - Country:US
Mailing Address - Phone:574-523-1550
Mailing Address - Fax:574-293-1511
Practice Address - Street 1:500 ARCADE AVE STE 300
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-2486
Practice Address - Country:US
Practice Address - Phone:574-523-1550
Practice Address - Fax:574-293-1511
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000671A225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN156110Medicare ID - Type Unspecified