Provider Demographics
NPI:1811949472
Name:SPERBER, VINODAH (OT)
Entity type:Individual
Prefix:
First Name:VINODAH
Middle Name:
Last Name:SPERBER
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 1:3815 NE 166TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3855
Mailing Address - Country:US
Mailing Address - Phone:305-318-9253
Mailing Address - Fax:305-422-0505
Practice Address - Street 1:3815 NE 166TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160
Practice Address - Country:US
Practice Address - Phone:305-318-9253
Practice Address - Fax:305-422-0505
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT4347225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL888575300Medicaid