| NPI | 1033649694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MOSKAL Owner 503-850-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 1042968) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-01-03 |