Individual
MR. SHAWN GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2716
TN
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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