Healthcare Provider Details

I. General information

NPI: 1679746184
Provider Name (Legal Business Name): BARBARA CRISTEA GOLDSTEIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5273 BROADVIEW RD
PARMA OH
44134-1626
US

IV. Provider business mailing address

3013 OLD BRAINARD RD
PEPPER PIKE OH
44124-5302
US

V. Phone/Fax

Practice location:
  • Phone: 216-447-1149
  • Fax:
Mailing address:
  • Phone: 216-952-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number002537
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: