Individual
AMANDA GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
821 N NELLIS BLVD STE 130, LAS VEGAS, NV 89110-5387
(702) 452-4563
Mailing address
3753 TIFFIN CT, LAS VEGAS, NV 89129-6846
(760) 710-7423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3326
NV
225XH1200X
Hand Occupational Therapist
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Other
Enumeration date
09/13/2023
Last updated
02/28/2025
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