Search › South Carolina › 225200000X
Tiffany Godbolt, P.T.A
NPI 1952747107 · on the registry since 2013 · sole proprietor
Practice
- Address
- 318 E Main St
Lake City, SC 29560 - Phone
- (843) 374-3353
- Fax
- (843) 374-7245
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina