Individual provider · Type 1 NPI
Jill Brogdon, OTR
Specialist · Demotte, IN
NPI number
1689701575
Active
Practice location
5522 E 989 N
Demotte, IN 46310-8016
Mailing address
3396 W Lakeshore Dr
Crown Point, IN 46307-8922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 31000073A (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
Other specialist providers in Demotte
About NPI 1689701575
Jill Brogdon, OTR's National Provider Identifier is 1689701575, issued on Feb 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Demotte, IN. The record was last updated on Jul 8, 2007.