Individual
LYNDSEY E GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751239637C
—
GA
01
—
OT004506
LICENSE NUMBER
GA
Enumeration date
03/30/2007
Last updated
10/20/2014
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