Bretton Moosman

NPI #1154079598 in Rigby, Idaho

Provider Information

NPI Number
1154079598
Entity Type
Individual
Name
Bretton Moosman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Mar 15, 2022
Last Updated
Mar 15, 2022

Practice Location

Address
152 E MAIN ST STE 110
City
Rigby
State
Idaho
ZIP Code
83442-5268
Phone
(208) 745-7101

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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