LYDIA RACHELE BRODEGARD

NEW MARTINSVILLE, WV
NPI1790968352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1238)
Enumeration Date2007-12-06
Last Update Date2007-12-06
Business Address
LYDIA RACHELE BRODEGARD
333 FOUNDRY ST
NEW MARTINSVILLE, WV 26155-1142
Phone number: 304-455-2441
Mailing Address
LYDIA RACHELE BRODEGARD
333 FOUNDRY ST
NEW MARTINSVILLE, WV 26155-1142
Phone number: 304-455-2441