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Individual

AMANDA GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
2109 CEDARWOOD DR STE 200, MUSCATINE, IA 52761-2670
(563) 263-0557
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013268
IL
225X00000X
Occupational Therapist
098221
IA

Other

Enumeration date
09/25/2020
Last updated
08/30/2021
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