Organization
BRAINWINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH GODDARD MOTR/L (OCCUPATIONAL THERAPIST)
(417) 216-7352
Entity
Organization
Contact information
Practice address
904 E ELIZABETH ST, REPUBLIC, MO 65738-2299
(417) 599-9984
Mailing address
PO BOX 488, REPUBLIC, MO 65738-0488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
09/09/2021
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