Individual
HOLLY ANN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1244 CLAIRMONT RD, 108, DECATUR, GA 30030-1259
(404) 728-9766
(404) 728-9166
Mailing address
1244 CLAIRMONT RD, 108, DECATUR, GA 30030-1259
(404) 728-9766
(404) 728-9166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004761
GA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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