Provider Demographics
NPI:1679684880
Name:BUILDING BLOCKS OCCUPATIONAL THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:BUILDING BLOCKS OCCUPATIONAL THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORISSA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:LAPRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:207-782-0333
Mailing Address - Street 1:18 NIMITZ ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-5140
Mailing Address - Country:US
Mailing Address - Phone:207-576-6099
Mailing Address - Fax:
Practice Address - Street 1:265 PINE ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6308
Practice Address - Country:US
Practice Address - Phone:207-782-0333
Practice Address - Fax:207-782-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT1699225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEOT 1699OtherOT LICENSE