Individual
AVIGDOR GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
Mailing address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11819
CA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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