Light of Mine Pediatric and Adolescent Therapy Services, Pllc
NPI #1689228272 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1689228272
- Entity Type
- Organization
- Organization Name
- Light of Mine Pediatric and Adolescent Therapy Services, Pllc
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Jul 31, 2019
Practice Location
- Address
- 4517 S. YELLOW PINE AVE.
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-5616
- Phone
- (918) 520-6166
Authorized Official
- Name
- MRS. MEGAN HOFFMAN, MOTR/L
- Title
- OWNER/DIRECTOR, MOTR/L
- Phone
- (918) 520-6166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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