Provider Demographics
NPI:1881020477
Name:BUILDING BLOCKS THERAPY OF OXFORD, PLLC
Entity Type:Organization
Organization Name:BUILDING BLOCKS THERAPY OF OXFORD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:662-471-8848
Mailing Address - Street 1:21006 WILLS TRCE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5186
Mailing Address - Country:US
Mailing Address - Phone:662-471-8848
Mailing Address - Fax:
Practice Address - Street 1:21006 WILLS TRCE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5186
Practice Address - Country:US
Practice Address - Phone:662-471-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT0375225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty