Individual
KIMBERLY NICOLE GODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004002358
—
CT
05
—
C00123
—
CT
Enumeration date
06/11/2020
Last updated
06/11/2020
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