MEDICARE: PURPOSEFUL PLAY OCCUPATIONAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1083216469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPOSEFUL PLAY OCCUPATIONAL THERAPY

Provider Business Mailing Address
First Line	:	5255 CREEKBEND DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5255 CREEKBEND DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5211
Country	:	US
Telephone Number	:	541-912-0072
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	HANNAH DURNING
Credential	:	OT
Telephone Number	:	541-912-0072

Provider Enumeration Date	:	11/11/2020
Last Update Date	:	03/16/2021

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Directions to “PURPOSEFUL PLAY OCCUPATIONAL THERAPY ” Practice Location

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