Individual
JILLIAN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 STATE ROUTE 37, NEW FAIRFIELD, CT 06812-4024
(203) 312-0211
Mailing address
16 MAYBROOK RD STE N, CAMPBELL HALL, NY 10916-2741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6511
CT
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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