# BUILDING BLOCKS OCCUPATIONAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558539122
- **Authorized official:** TRACI LYNN ROON PT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (907) 374-4911

## Contact information

- **Practice address:** 398 HAMILTON AVE, FAIRBANKS, AK 99701-4760
- **Practice address phone:** (907) 374-4911
- **Practice address fax:** (907) 374-4934
- **Mailing address:** 398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
- **Mailing address phone:** (907) 374-4911
- **Mailing address fax:** (907) 374-4934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1106 | AK | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 03/31/2017