Individual
MRS. LISA BARRY GOFBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
550 SAINT CHARLES DR, SUITE 100, THOUSAND OAKS, CA 91360-3951
(805) 449-1125
(805) 449-4113
Mailing address
550 SAINT CHARLES DR, SUITE 100, THOUSAND OAKS, CA 91360-3951
(805) 449-1125
(805) 449-4113
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
707
CA
Other
Enumeration date
12/06/2005
Last updated
09/24/2008
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