Individual
JUDY V GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
600 S PINE ISLAND RD, S300, PLANTATION, FL 33324-3166
(954) 473-6344
(954) 476-9077
Mailing address
600 S PINE ISLAND RD, S300, PLANTATION, FL 33324-3166
(954) 473-6344
(954) 476-9077
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
OT2016
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2016
LICENSE NUMBER
FL
Enumeration date
08/12/2008
Last updated
08/12/2008
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