MS. Tiffany Renee Godbolt, P.T.A.
NPI #1952747107 in Lake City, South Carolina
Provider Information
- NPI Number
- 1952747107
- Entity Type
- Individual
- Name
- MS. Tiffany Renee Godbolt, P.T.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- P.T.A.
- Enumeration Date
- May 15, 2013
- Last Updated
- Jun 3, 2013
Practice Location
- Address
- 318 E MAIN ST
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-2116
- Phone
- (843) 374-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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