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Individual

BRYAN BARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT/L

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
2012 CERES WAY, SACRAMENTO, CA 95864-0841
(916) 206-8952

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4094
CA

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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