Individual
MARYSE RICHER-GODBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
65 ROSE WALK DR, COVINGTON, GA 30016-7712
(770) 490-4956
(678) 922-1326
Mailing address
65 ROSE WALK DR, COVINGTON, GA 30016-7712
(770) 490-4956
(678) 922-1326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000878039D
—
GA
Enumeration date
07/09/2019
Last updated
07/09/2019
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