Provider Demographics
NPI:1790370179
Name:OT BUILDING BLOCKS FOR LIFE, LLC
Entity type:Organization
Organization Name:OT BUILDING BLOCKS FOR LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESS
Authorized Official - Suffix:
Authorized Official - Credentials:DPS, OTR/L
Authorized Official - Phone:970-343-4417
Mailing Address - Street 1:301 BOULDER ST UNIT 1581
Mailing Address - Street 2:
Mailing Address - City:MINTURN
Mailing Address - State:CO
Mailing Address - Zip Code:81645-5074
Mailing Address - Country:US
Mailing Address - Phone:970-343-4417
Mailing Address - Fax:
Practice Address - Street 1:1864 CROSS CREEK LANE
Practice Address - Street 2:
Practice Address - City:MINTURN
Practice Address - State:CO
Practice Address - Zip Code:81645
Practice Address - Country:US
Practice Address - Phone:970-343-4417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty