Individual
ELIZABETH ROSE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1137 S POINT VIEW ST, LOS ANGELES, CA 90035-2618
(323) 641-3662
Mailing address
1137 S POINT VIEW ST, LOS ANGELES, CA 90035-2618
(323) 641-3662
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23094
CA
Other
Enumeration date
06/02/2022
Last updated
06/21/2022
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