Organization
GODFREY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGOT PETERS (CREDENTIALING)
(251) 725-8455
Entity
Organization
Contact information
Practice address
7302 HIGHWAY 613 STE D, MOSS POINT, MS 39563-9432
(228) 369-6493
Mailing address
7302 HIGHWAY 613 STE D, MOSS POINT, MS 39563-9432
(228) 369-6493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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