Doctor Name: | MS. AMY MICHELLE GODWIN |
NPI Number: | 1053622191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6191 |
Business Practice Address: | 1020 Grove Rd Greenville, SC - 296054649 |
Business Phone Number: | 8644552319 |
Business Fax Number: | 8644552340 |
Mailing Address: | 125 The Pkwy Ste 501, GREENVILLE |
State: | SC |
Postal Code: | 296156610 |
Phone Number: | 8645285707 |
Fax Number: | 8645285701 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 06/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6191 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |