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Contact Information

LISA BARRY GOFBERG, OTR
550 SAINT CHARLES DR
SUITE 100
THOUSAND OAKS, CA91360-3951
 Phone: 805-449-1125
 Fax: 805-449-4113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA BARRY GOFBERG · (Female)

NPI # 1255315966
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 12/06/2005
Last updated 09/24/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 707
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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