Organization
BUILDING BLOCKS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIE DANIELSON OTRL (OWNER)
(404) 202-5038
Entity
Organization
Contact information
Practice address
1230 JOHNSON FERRY PL, I-20, MARIETTA, GA 30068-2048
(770) 321-6705
(770) 321-6705
Mailing address
5167 WEATHERWOOD TRCE, MARIETTA, GA 30068-1748
(404) 202-5038
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OT002561
GA
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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