Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 11473 | FL |
NPI | 1013205897 |
---|---|
Provider Name | Rosemarie Goldstein |
First Address | Pembroke Pines, FL 33029-3809 |
Second Address | Pembroke Pines, FL 33029-3809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2011 |
Last Update Date | 14/07/2011 |