Individual
MICHELLE S GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT
Contact information
Practice address
8811 WARREN H ABERNATHY HWY, SPARTANBURG, SC 29301-1550
(864) 574-7282
(864) 574-7664
Mailing address
8811 WARREN H ABERNATHY HWY, SPARTANBURG, SC 29301-1228
(864) 574-7282
(864) 574-7664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
437
SC
225XH1200X
Hand Occupational Therapist
Primary
437
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396737979
NPI
SC
01
—
Q357577567
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
SC
Enumeration date
08/18/2005
Last updated
06/25/2013
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