Provider Demographics
NPI:1073926051
Name:BUILDING BLOCKS THERAPY 4 KIDS, LLC
Entity Type:Organization
Organization Name:BUILDING BLOCKS THERAPY 4 KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HAWES
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:909-519-8912
Mailing Address - Street 1:4334 LATHAM ST # 110
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-1748
Mailing Address - Country:US
Mailing Address - Phone:909-519-8912
Mailing Address - Fax:909-593-8988
Practice Address - Street 1:221 N SAN DIMAS AVE # 219
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2664
Practice Address - Country:US
Practice Address - Phone:909-519-8912
Practice Address - Fax:909-593-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty