C Thomas Brodegard in New Martinsville - Occupational Therapist
C Thomas Brodegard - NPI 1659577542
C Thomas Brodegard is a Occupational Therapist in New Martinsville, . C Thomas Brodegard practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for C Thomas Brodegard is 1659577542. The last update date is 2007-07-08.
C Thomas Brodegard's current location address is 3 E Benjamin Dr, New Martinsville, . You can contact this provider via phone number 3044558000. The mailing address for C Thomas Brodegard is 3 E Benjamin Dr, New Martinsville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | C Thomas Brodegard |
|---|---|
| Address | 3 E Benjamin Dr, New Martinsville, |
| Phone Number | 3044558000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659577542 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3 E Benjamin Dr |
|---|---|
| City | New Martinsville |
| State | (WV) |
| Post Code | 261552705 |
| Phone Number | 3044558000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 745 |
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Definition: 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 Federat |
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What is the unique provider identifier assigned to C Thomas Brodegard?
The C Thomas Brodegard has been issued the NPI (National Provider Identifier) 1659577542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where C Thomas Brodegard is physically located?
The C Thomas Brodegard is physically situated at the following address: 3 E Benjamin Dr, New Martinsville, WV, 261552705.
What is C Thomas Brodegard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for C Thomas Brodegard is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date did C Thomas Brodegard receive its 1659577542 assignment from the Centers for Medicare & Medicaid Services?
The C Thomas Brodegard was assigned its 1659577542 on 2007-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the C Thomas Brodegard's details last updated?
The information pertaining to the C Thomas Brodegard, including its address, specialty, and other details, was most recently updated on 2007-07-08.