Individual
LAUREN GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2950 OLD ALABAMA RD, ALPHARETTA, GA 30022-8595
(770) 667-9703
Mailing address
37 CLIFTWOOD DR NE, ATLANTA, GA 30328-4839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT005003
LICENSE NUMBER
GA
Enumeration date
12/09/2009
Last updated
12/09/2009
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