MR. Rusty Allen Godfrey, COTA/L
NPI #1528267960 in Inman, South Carolina
Provider Information
- NPI Number
- 1528267960
- Entity Type
- Individual
- Name
- MR. Rusty Allen Godfrey, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jul 16, 2007
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 63 BLACKSTOCK RD
- City
- Inman
- State
- South Carolina
- ZIP Code
- 29349-1835
- Phone
- (864) 472-9055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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