Individual provider · Type 1 NPI

Lydia Rachele Brodegard

Occupational Therapist · New Martinsville, WV

NPI number 1790968352 Active

Practice location

333 Foundry St
New Martinsville, WV 26155-1142

Call (304) 455-2441 Map

Fax (304) 455-3446

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1238 (WV)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1790968352

Lydia Rachele Brodegard's National Provider Identifier is 1790968352, issued on Dec 6, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New Martinsville, WV. The record was last updated on Dec 6, 2007.