Individual
ALEX BRICKEY
Active
Individual
ALEX BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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