Organization
BUILDING BLOCKS PEDIATRIC THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA STANLEY RPT (OWNER)
(479) 495-6326
Entity
Organization
Contact information
Practice address
10668 LYDIA LANE, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Mailing address
10668 LYDIA LANE, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
AR1910
AR
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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