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Individual
ELAINA BETH GOLDMAN
Active
Individual
ELAINA BETH GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300025502
—
IN
01
—
31006269A
INDIANA PROF LICENSING AGENCY - OCCUPATIONAL THERAPY COMMITTEE
IN
01
—
376880
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
05/03/2019
Last updated
02/27/2023
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