Individual
MATTHEW GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2223 SW 54TH ST, LAWTON, OK 73505
(435) 232-6242
Mailing address
2223 SW 54TH ST, LAWTON, OK 73505-5717
(801) 635-5315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4256
OK
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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