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Individual
THELMA OBIAGALIAKU IWUCHUKWU GODSLAW
Active
Individual
THELMA OBIAGALIAKU IWUCHUKWU GODSLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22573
OCCUPATIONAL THERAPY LICENSE
CA
01
—
456730
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY CERTICATION
—
Enumeration date
08/06/2021
Last updated
03/30/2024
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