Organization
BUILDING BLOCKS THERAPY 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HAWES ROBINSON IV (OWNER/MANAGER)
(909) 519-8912
Entity
Organization
Contact information
Practice address
221 N SAN DIMAS AVE # 219, SAN DIMAS, CA 91773-2664
(909) 519-8912
(909) 593-8988
Mailing address
4334 LATHAM ST # 110, RIVERSIDE, CA 92501-1748
(909) 519-8912
(909) 593-8988
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
05/23/2023
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