Jacqueline Marie Godwin
Occupational Therapy Assistant
1507 S Tuttle Ave
Sarasota
, Florida 34239-2608
Jacqueline Marie Godwin
Occupational Therapy Assistant
1507 S Tuttle Ave
Sarasota
, Florida 34239-2608
(813) 652-9033
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Jacqueline Marie Godwin
- 16467 Little Garden Dr
- Wimauma, FL
- Zip : 33598-2405
- Phone : (813) 652-9033
Second Address
- Jacqueline Marie Godwin
- 1507 S Tuttle Ave
- Sarasota, FL
- Zip : 34239-2608
- Phone : (941) 366-0336
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 17870 | FL |
National Provider Identifier
| NPI | 1013590629 |
|---|---|
| Provider Name | Jacqueline Marie Godwin |
| First Address | Wimauma, FL 33598-2405 |
| Second Address | Sarasota, FL 34239-2608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2021 |
| Last Update Date | 30/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.