Bretton Moosman
Bretton Moosman is a Pediatric Occupational Therapist in Rigby, Idaho. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
152 E Main St Ste 110Rigby, ID 83442-5268
Phone: (208) 745-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X |
|---|
Record details
| NPI number | 1154079598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2022 |
| Last updated in NPPES | March 15, 2022 |
| Certification date | March 15, 2022 |
| Mailing address | 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237 |