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Individual
MICHELLE S GODFREY
Active
Individual
MICHELLE S GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
437
SC
225XH1200X
Hand Occupational Therapist
Primary
437
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396737979
NPI
SC
01
—
Q357577567
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
SC
Enumeration date
08/18/2005
Last updated
06/25/2013
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