Building Blocks Pediatric Therapy

NPI #1720402431 in Lewiston, Idaho

Provider Information

NPI Number
1720402431
Entity Type
Organization
Organization Name
Building Blocks Pediatric Therapy
Primary Specialty
Physical Therapist - Pediatrics
Enumeration Date
Feb 17, 2014
Last Updated
Apr 12, 2014

Practice Location

Address
1019 3RD ST
State
Idaho
ZIP Code
83501-2713
Phone
(208) 818-4846

Authorized Official

Name
JAMIE L LARSEN, DPT
Title
OWNER/PHYSICAL THERAPIST
Phone
(208) 816-4195

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics

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