Individual
JESSICA LYNN GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
577 GRAND ST, NEW YORK, NY 10002-4383
(212) 254-7300
Mailing address
84 MONROE ST APT 2, HOBOKEN, NJ 07030-6516
(914) 980-7269
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
029292
NY
Other
Enumeration date
07/31/2024
Last updated
08/01/2024
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