Individual
BRYCE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
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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