Individual
MRS. SHANNON GODSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
4B CARYN DR, SACO, ME 04072-3159
(207) 468-4604
Mailing address
4B CARYN DR, SACO, ME 04072-3159
(207) 468-4604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2022
ME
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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