Individual
COREY GODINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7801 N RICHLAND BLVD, NORTH RICHLAND HILLS, TX 76180-6415
(469) 609-9044
Mailing address
5609 PALOMA CT, FORT WORTH, TX 76179-7505
(832) 797-9343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115317
TX
Other
Enumeration date
01/24/2023
Last updated
02/23/2023
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