Organization
BUILDING BLOCKS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA G. BEARD (MEMBER)
(843) 708-0859
Entity
Organization
Contact information
Practice address
102 ASHTON DR, GOOSE CREEK, SC 29445-6626
(843) 708-0859
(843) 821-6579
Mailing address
102 ASHTON DR, GOOSE CREEK, SC 29445-6626
(843) 708-0859
(843) 821-6579
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2206
SC
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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