Organization
PURPOSEFUL PLAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIENE DENOMME OTR/L (OCCUPATIONAL THERAPIST)
(810) 434-6006
Entity
Organization
Contact information
Practice address
1703 PINE GROVE AVE, PORT HURON, MI 48060-3119
(810) 339-0027
Mailing address
1703 PINE GROVE AVE, PORT HURON, MI 48060-3119
(810) 339-0027
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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