Daericca Janae Godwin

NPI #1598246027 in Marianna, Florida

Provider Information

NPI Number: 1598246027
Entity Type: Individual
Name: Daericca Janae Godwin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 23, 2018
Last Updated: Aug 23, 2018

Practice Location

Address: 4295 5TH AVE
City: Marianna
State: Florida
ZIP Code: 32446-2176
Phone: (850) 482-8091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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