# ELAINA BETH GOLDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639734734
- **Gender:** F
- **Credential:** MS, OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31006269A | IN | Yes |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 02/27/2023

## 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 | — |