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Individual
TIFFANY LYNN GODLOVE
Active
Individual
TIFFANY LYNN GODLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.013682
OH
2255A2300X
Athletic Trainer
AT.003280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074695
—
OH
Enumeration date
06/28/2012
Last updated
09/19/2013
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