Individual
LACEY DAWN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4400 MARKETING PL STE B, GROVEPORT, OH 43125-9308
(614) 492-2520
Mailing address
4038 BOWEN POND DR APT 306, CANAL WINCHESTER, OH 43110-3546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2024021254
MO
225X00000X
Occupational Therapist
Primary
OT013283
OH
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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