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1558471813

NPI Code Detail

MEDICARE: MS. CAREY A GOLDENBERG M.S. OTR'L

MEDICARE: MS. CAREY A GOLDENBERG M.S. OTR'L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	OT00003262	WA
2	225X00000X	Occupational Therapist	OT00003262	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558471813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAREY A GOLDENBERG M.S. OTR'L

Provider Business Mailing Address
First Line	:	4636 E MARGINAL WAY S STE B100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-2322
Country	:	US
Telephone Number	:	120-676-3035
Fax Number	:	206-762-0111

Provider Business Practice Location Address
First Line	:	4636 E MARGINAL WAY S STE B100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98134-2322
Country	:	US
Telephone Number	:	120-676-3035
Fax Number	:	206-762-0111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	11/05/2018

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Directions to “ MS. CAREY A GOLDENBERG M.S. OTR'L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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