MEDICARE: VALERIE BRYANT OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	U10001338	DE

General Provider Information

NPI Number	:	1891125365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE BRYANT OTR

Provider Business Mailing Address
First Line	:	818 BRANT DR
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-8905
Country	:	US
Telephone Number	:	302-743-4701
Fax Number	:	302-328-6262

Provider Business Practice Location Address
First Line	:	818 BRANT DR
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-8905
Country	:	US
Telephone Number	:	302-743-4701
Fax Number	:	302-328-6262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2013
Last Update Date	:	09/01/2020

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