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Individual
SHIRISH R GODBOLE
Active
Individual
SHIRISH R GODBOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
TR001614
NJ
225XH1200X
Hand Occupational Therapist
Primary
9511000027
NJ
Other
Enumeration date
04/03/2007
Last updated
09/13/2012
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