Individual
GODFREY BOADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LOTA
Contact information
Practice address
25918 CRESTFORD PARK LN, KATY, TX 77494-2038
(832) 620-5893
Mailing address
25918 CRESTFORD PARK LN, KATY, TX 77494-2038
(832) 620-5893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207853
TX
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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