Healthcare Provider Details

I. General information

NPI: 1063330082
Provider Name (Legal Business Name): BRIGHT STEPS PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3858 W CARSON ST STE 100
TORRANCE CA
90503-6705
US

IV. Provider business mailing address

4931 REESE RD
TORRANCE CA
90505-3303
US

V. Phone/Fax

Practice location:
  • Phone: 424-225-1481
  • Fax: 424-251-5380
Mailing address:
  • Phone: 424-225-1481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: AUDREY GERBRACHT
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S., CF - SLP
Phone: 310-779-1128