Organization
SMALL HANDS BUILDING BLOCKS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADY REYES OTRL (PROVIDER)
(630) 408-3822
Entity
Organization
Contact information
Practice address
1410 STATE ST, OTTAWA, IL 61350-4735
(630) 408-3822
Mailing address
1410 STATE ST, OTTAWA, IL 61350-4735
(630) 408-3822
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
11/25/2019
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