MR. C Thomas Brodegard

NPI #1659577542 in New Martinsville, West Virginia

Provider Information

NPI Number: 1659577542
Entity Type: Individual
Name: MR. C Thomas Brodegard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3 E BENJAMIN DR
City: New Martinsville
State: West Virginia
ZIP Code: 26155-2705
Phone: (304) 455-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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