Basic Information
| Provider Information | |||||||||
| NPI: | 1942264197 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILVERMAN | ||||||||
| FirstName: | MARCI | ||||||||
| MiddleName: | F. | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2635 POPLAR LAKE TRL | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303601659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4046106018 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5975 ROSWELL RD NE STE C-333 | ||||||||
| Address2: | STABILITY PILATES AND PHYSICAL THERAPY | ||||||||
| City: | SANDY SPRINGS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303284048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043039153 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 03/30/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT001791 | GA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.