| Lydia Rachele Brodegard, | |
|
333 Foundry St, New Martinsville, WV 26155-1142 | |
| (304) 455-2441 | |
| (304) 455-3446 |
| Full Name | Lydia Rachele Brodegard |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 333 Foundry St, New Martinsville, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790968352 | NPI | - | NPPES |
| 3810010519 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1238 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Rachele Brodegard, 333 Foundry St, New Martinsville, WV 26155-1142 Ph: (304) 455-2441 | Lydia Rachele Brodegard, 333 Foundry St, New Martinsville, WV 26155-1142 Ph: (304) 455-2441 |
Alexa Isaly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Foundry St, New Martinsville, WV 26155 Phone: 304-231-3820 | |
Amy Ueltschy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6229 Mountaineer Hwy, New Martinsville, WV 26155 Phone: 304-815-1634 | |
Boone Kehrer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 N State Route 2, New Martinsville, WV 26155 Phone: 304-455-5515 | |
Mr. C Thomas Brodegard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8000 | |
Christy Heise, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Russell Ave, New Martinsville, WV 26155 Phone: 304-455-2600 |