Bright Spot Pediatric Therapy LLC

NPI #1033649694 in Portland, Oregon

Provider Information

NPI Number: 1033649694
Entity Type: Organization
Organization Name: Bright Spot Pediatric Therapy LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 15, 2017
Last Updated: Jan 3, 2022

Practice Location

Address: 1425 N KILLINGSWORTH ST
City: Portland
State: Oregon
ZIP Code: 97217-4541
Phone: (503) 575-9402

Authorized Official

Name: RYAN MOSKAL
Title: OWNER
Phone: (503) 850-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X

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