Organization · Type 2 NPI

Light of Mine Pediatric and Adolescent Therapy Services, PLLC

Occupational Therapist · Broken Arrow, OK

NPI number 1689228272 Active

Practice location

4517 S. Yellow Pine Ave.
Broken Arrow, OK 74011-5616

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1689228272

Light of Mine Pediatric and Adolescent Therapy Services, PLLC's National Provider Identifier is 1689228272, issued on Jul 31, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 31, 2019.