Individual
KIERA ELYSSE GODUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11838 BERNARDO PLAZA CT UNIT 10, SAN DIEGO, CA 92128-2413
(858) 673-5437
Mailing address
6490 AMBROSIA DR APT 5203, SAN DIEGO, CA 92124-3146
(610) 969-8210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23160
CA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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