Tonya Godush

NPI #1912263955 in Wynne, Arkansas

Provider Information

NPI Number: 1912263955
Entity Type: Individual
Name: Tonya Godush
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 4, 2012
Last Updated: Apr 4, 2012

Practice Location

Address: 2401 WIXSON ST APT F
City: Wynne
State: Arkansas
ZIP Code: 72396-4058
Phone: (870) 318-5092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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