Mr. C Thomas Brodegard
Mr. C Thomas Brodegard is an Occupational Therapist in New Martinsville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.
- Licensed in
- WV
- In the registry since
- 2007
Practice location Address checks out
3 E Benjamin DrNew Martinsville, WV 26155-2705
Phone: (304) 455-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 745 (WV) |
|---|
Record details
| NPI number | 1659577542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
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