Individual
CANDACE S GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3300 28TH ST, BOULDER, CO 80301-1411
(303) 541-9090
Mailing address
3300 28TH ST, BOULDER, CO 80301-1411
(303) 541-9090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008929
GA
225100000X
Physical Therapist
PTL.0011938
CO
Other
Enumeration date
01/02/2007
Last updated
06/15/2015
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