Individual
ALEX BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PELL AVE, ROCKY MOUNT, VA 24151-1134
(540) 484-1456
Mailing address
707 MARCUS RD, ROCKY MOUNT, VA 24151-4309
(276) 780-1534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008058
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119008058
VIRGINIA STATE LICENSE
VA
Enumeration date
06/30/2020
Last updated
06/30/2020
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