Light Of Mine Pediatric And Adolescent Therapy Services, Pllc - Occupational Therapist in Broken Arrow, OK

Light Of Mine Pediatric And Adolescent Therapy Services, Pllc is a Occupational Therapist based in Broken Arrow, Oklahoma. Light Of Mine Pediatric And Adolescent Therapy Services, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is 4517 S. Yellow Pine Ave., Broken Arrow, Oklahoma. It can be reached at their office (for appointments etc.) via phone at (918) 520-6166.

NPI number for Light Of Mine Pediatric And Adolescent Therapy Services, Pllc is 1689228272 and their current mailing address is 4517 S. Yellow Pine Ave., Broken Arrow, Oklahoma. Light Of Mine Pediatric And Adolescent Therapy Services, Pllc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1689228272.

Contact Information

Light Of Mine Pediatric And Adolescent Therapy Services, Pllc
4517 S. Yellow Pine Ave.,
Broken Arrow, OK 74011-5616
(918) 520-6166
Not Available



Healthcare Provider's Profile

Full NameLight Of Mine Pediatric And Adolescent Therapy Services, Pllc
TypeFacility
SpecialityOccupational Therapist
Location4517 S. Yellow Pine Ave., Broken Arrow, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689228272
  • Provider Enumeration Date: 07/31/2019
  • Last Update Date: 07/31/2019

Medical Identifiers

Medical identifiers for Light Of Mine Pediatric And Adolescent Therapy Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689228272NPI-NPPES
201224190AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Light Of Mine Pediatric And Adolescent Therapy Services, Pllc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Light Of Mine Pediatric And Adolescent Therapy Services, Pllc
4517 S. Yellow Pine Ave.,
Broken Arrow, OK 74011-5616

Ph: (918) 520-6166
Light Of Mine Pediatric And Adolescent Therapy Services, Pllc
4517 S. Yellow Pine Ave.,
Broken Arrow, OK 74011-5616

Ph: (918) 520-6166

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› Verified 3 days ago


Occupational Therapist in Broken Arrow, OK

Mr. Minh The Huynh, OTL
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3000 S Elm Pl, Broken Arrow, OK 74012
Phone: 918-451-5143    
Ms. Maryanne E. Damico, O.T.R.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2608 W Kenosha St, Suite 430, Broken Arrow, OK 74012
Phone: 918-259-3714    
Mrs. Carla Cathleen Lott, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2221 W Detroit St, Broken Arrow, OK 74012
Phone: 918-615-6492    
April Meyer,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1306 E College St, Broken Arrow, OK 74012
Phone: 918-251-3200    
Outcomes, Inc.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5900 S 283rd East Ave, Broken Arrow, OK 74014
Phone: 918-408-6943    Fax: 918-357-9277
Ashlee Potter,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2257 W Washington St, Broken Arrow, OK 74012
Phone: 918-994-7799    
Alexis Langston, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4800 W San Antonio St, Broken Arrow, OK 74012
Phone: 918-410-8740    

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