Organization
PLAYFUL DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA STEFANO O.T.R. (OWNER/PEDIATRIC OCCUPATIONAL THERAP)
(860) 657-3454
Entity
Organization
Contact information
Practice address
547 MAIN ST, SOUTH GLASTONBURY, CT 06073-3120
(860) 657-3454
(860) 657-8680
Mailing address
547 MAIN ST, SOUTH GLASTONBURY, CT 06073-3120
(860) 657-3454
(860) 657-8680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002485
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040350
CIGNA
CT
05
—
008011895
—
CT
01
—
0491420
HEALTH NET
CT
01
—
102485
CONNECTICARE
CT
01
—
130002485CT02
ANTHEM BCBS
CT
01
—
771008
OPTUM UNITED HEALTHCARE SOLUTIONS
CT
Enumeration date
07/15/2013
Last updated
07/15/2013
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