Individual
MRS. MICHELLE L GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
41 LIBERTY ST, BEMUS POINT, NY 14712-9547
(716) 386-2375
Mailing address
4938 SLIDE JOSLYN RD, BEMUS POINT, NY 14712-9770
(716) 386-5896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008702-1
NY
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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