Organization
BUILDING BLOCKS THERAPY CLINIC
Active
Organization
BUILDING BLOCKS THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA D WOODS MS/CCC-SLP (MEMBER/SPEECH THERAPIST)
(270) 240-5051
Entity
Organization
Contact information
Practice address
724 HARVARD DR, OWENSBORO, KY 42301-6152
(270) 240-5051
Mailing address
724 HARVARD DR, OWENSBORO, KY 42301-6152
(270) 240-5051
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215006515
NPI
—
Enumeration date
07/24/2019
Last updated
04/25/2020
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