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Mutsa Mary Godza

NPI Registration Record

Provider / OrganizationNPIDate Certified
MUTSA MARY GODZA19923078622020-11-14
Entity TypeIndividual
Provider Name Mutsa Mary Godza DPT
Practice Office Address8448 SIEGEN LN
BATON ROUGE, LA US
Practice Office Telephone2257678182
Mailing Address3235 HIGHLAND RD APT 4204
BATON ROUGE, LA 708027968 US
Business Telephone3174960533
HPT Codes
CodeLicense NoState
225100000X PRIMARY10797 LA
OPI Codes

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