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Organization

BUILDING BLOCKS PEDIATRIC PHYSICAL THERAPY, LLC

Active
Other names
Building Blocks
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANNA SUE TAMMINGA PT, DHS, PCS (OWNER)
(608) 289-9797
Entity
Organization

Contact information

Practice address
302 W EXCHANGE ST, FREEPORT, IL 61032-4114
(608) 289-9797
(608) 365-6933
Mailing address
838 E AZALEA TER, BELOIT, WI 53511-1606
(608) 289-9797
(608) 365-6933

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary

Other

Enumeration date
07/15/2010
Last updated
07/15/2010
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