Individual
LEORA GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 W TOUHY AVE, APT 1, CHICAGO, IL 60645-2938
(773) 412-4943
Mailing address
2926 W TOUHY AVE, APT 1, CHICAGO, IL 60645-2938
(773) 412-4943
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/20/2015
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