Lydia Rachele Brodegard
NPI #1790968352 in New Martinsville, West Virginia
Provider Information
- NPI Number
- 1790968352
- Entity Type
- Individual
- Name
- Lydia Rachele Brodegard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Dec 6, 2007
- Last Updated
- Dec 6, 2007
Practice Location
- Address
- 333 FOUNDRY ST
- City
- New Martinsville
- State
- West Virginia
- ZIP Code
- 26155-1142
- Phone
- (304) 455-2441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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