Individual
BRYCE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(540) 688-6277
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008244
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119008244
STATE LICENSE NUMBER
VA
Enumeration date
06/24/2019
Last updated
04/08/2025
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