Individual
JESSICA L GOLDMAN
Active
Individual
JESSICA L GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1888
CA
225X00000X
Occupational Therapist
Primary
OT011261
OH
Other
Enumeration date
07/31/2012
Last updated
01/22/2022
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