Jacqueline Marie Godwin, COTA/L
Occupational Therapy Assistant in Sarasota, FL. Individual provider (NPI-1).
NPI number1013590629
StatusActive
Last updated in NPPESApr 30, 2021
Details
- NPI
- 1013590629
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Marie Godwin
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2021
- Certification date
- Apr 30, 2021
- Last updated
- Apr 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 17870 | FL | Yes |
Practice location
1507 S Tuttle AveSarasota, FL 34239-2608
Phone 941-366-0336
Mailing address
16467 Little Garden DrWimauma, FL 33598-2405
Phone 813-652-9033
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All 67 Occupational Therapy Assistant providers in Sarasota · All 9,213 providers in Sarasota
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