Individual
MR. JOHN WESLEY BROGDON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
21149 ROGERS HILL RD, COVINGTON, LA 70435-6784
(985) 951-0408
Mailing address
21149 ROGERS HILL RD, COVINGTON, LA 70435-6784
(985) 951-0408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200843
LA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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