Tiffany Renee Godbolt, P.T.A. Valid NPI

Individual provider · Physical Therapy Assistant · Lake City, SC

NPI

1952747107

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

1980 (SC)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-05-15

Last updated

2013-06-03