Provider Demographics
NPI:1598052300
Name:GOLDBERG HOFFMAN, RACHEL (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:GOLDBERG HOFFMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14002 JEWEL AVE
Mailing Address - Street 2:2 FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1654
Mailing Address - Country:US
Mailing Address - Phone:917-853-3943
Mailing Address - Fax:
Practice Address - Street 1:14002 JEWEL AVE
Practice Address - Street 2:2 FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1654
Practice Address - Country:US
Practice Address - Phone:917-853-3943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015015-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics