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Individual

BRYAN RICHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3551 ROGER BROOKE DR, TX 78234-4504, FORT SAM HOUSTON, TX 78234
(210) 916-5532
Mailing address
3551 ROGER BROOKE DR., FORT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010001210
DC
225X00000X
Occupational Therapist

Other

Enumeration date
11/15/2019
Last updated
06/26/2023
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