Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Light of Mine Pediatric and Adolescent Therapy Services, PLLC

Organization Occupational Therapist · NPI 1689228272

Light of Mine Pediatric and Adolescent Therapy Services, PLLC is an Occupational Therapist in Broken Arrow, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4517 S Yellow Pine Ave
Broken Arrow, OK 74011-5616
Phone: (918) 520-6166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1689228272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Hoffman — Owner/Director, Motr/L · (918) 520-6166
NPI enumeratedJuly 31, 2019
Last updated in NPPESJuly 31, 2019
Mailing address4517 S. Yellow Pine Ave., Broken Arrow, OK 74011-5616

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