Individual
JALONTA BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 DEEP WOODS TRL, ROXBORO, NC 27574-6810
(336) 504-6269
Mailing address
72 DEEP WOODS TRL, ROXBORO, NC 27574-6810
(336) 504-6269
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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