# PURPOSEFUL PLAY THERAPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205440765
- **Authorized official:** VIRGINIA L LONGO OTR (OCCUPATIONAL THERAPY)
- **Authorized official phone:** (413) 887-1963

## Contact information

- **Practice address:** 139 SOUTH ST, GRANBY, MA 01033-9547
- **Practice address phone:** (413) 887-1963
- **Mailing address:** 139 SOUTH ST, GRANBY, MA 01033-9547
- **Mailing address phone:** (413) 887-1963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 09/02/2020