Individual
MS. LISA ANN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7609 EDGEMONT RD, CINCINNATI, OH 45237-2607
(513) 939-5342
Mailing address
7609 EDGEMONT RD, CINCINNATI, OH 45237-2607
(513) 939-5342
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
COTA-04159
OH
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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