Organization
BUILDING BLOCKS OCCUPATIONAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI LYNN ROON PT (PHYSICAL THERAPIST/OWNER)
(907) 374-4911
Entity
Organization
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-4760
(907) 374-4911
(907) 374-4934
Mailing address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
(907) 374-4934
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021147
—
AK
Enumeration date
02/15/2008
Last updated
03/31/2017
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