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NPI Code Detail

MEDICARE: JAMIE K GODEC

MEDICARE: JAMIE K GODEC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1376203984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE K GODEC
Provider Business Mailing Address
First Line : 3939 E SUNNYSIDE DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85028-1413
Country : US
Telephone Number : 216-210-8878
Fax Number :
Provider Business Practice Location Address
First Line : 7325 E PRINCESS BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-5991
Country : US
Telephone Number : 216-210-8878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2021
Last Update Date : 12/22/2021

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Directions to “ JAMIE K GODEC ” Practice Location

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