RUSTY ALLEN GODFREY

INMAN, SC
NPI1528267960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  2664)
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
Mr. RUSTY ALLEN GODFREY cota/l
63 BLACKSTOCK RD
INMAN, SC 29349-1835
Phone number: 864-472-9055
Mailing Address
Mr. RUSTY ALLEN GODFREY cota/l
63 BLACKSTOCK RD
INMAN, SC 29349-1835
Phone number: 864-472-9055
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