Individual
MARTHA MARY GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/VATL
Contact information
Practice address
2929 LONDON BLVD, PORTSMOUTH, VA 23707-3405
(757) 397-8672
(757) 398-0809
Mailing address
2929 LONDON BLVD, PORTSMOUTH, VA 23707-3405
(757) 397-8672
(757) 398-0809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000321
VA
Other
Enumeration date
01/01/2008
Last updated
01/01/2008
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