Individual
REBECCA ELIZABETH GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1608 REYNOLDS ST, BRUNSWICK, GA 31520-6731
(912) 261-8906
Mailing address
1608 REYNOLDS ST, BRUNSWICK, GA 31520-6731
(912) 261-8906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT000998
GA
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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