Organization
PEDIATRIC BUILDING BLOCKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A BLEDSOE OTRL (OWNER, OCCUPATIONAL THERAPIST)
(510) 895-1214
Entity
Organization
Contact information
Practice address
1276 GABRIEL CT, SAN LEANDRO, CA 94577-6821
(510) 895-1214
(510) 895-1029
Mailing address
1276 GABRIEL CT, SAN LEANDRO, CA 94577-6821
(510) 895-1214
(510) 895-1029
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 1757
CA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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