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Individual

MRS. KIMBERLY ANITA GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
111 SUNNYBROOK ROAD, UNC HOSPITALS AT WAKEBROOK, RALEIGH, NC 27610
(984) 974-0032
(984) 974-4950
Mailing address
101 MANNING DRIVE, DEPARTMENT OF PT/OT, CHAPEL HILL, NC 27514-4220
(984) 974-0032
(984) 974-4950

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
9702
NC
225XM0800X
Mental Health Occupational Therapist
Primary
9702
NC

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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