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Individual

GINA GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5285 LEWISTON RD, LEWISTON, NY 14092-1942
(716) 298-2900
Mailing address
4195 BURCH RD, RANSOMVILLE, NY 14131-9721
(716) 545-2008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025024
NY

Other

Enumeration date
10/26/2020
Last updated
10/26/2020
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