Individual
DEANNA MILLER GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 SIMPSON RD, ANDERSON, SC 29621-2157
(864) 261-3875
Mailing address
105 SUNSET CT, EASLEY, SC 29642-8770
(864) 561-7413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1170
SC
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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