Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Nicole Light, MOTR/L

Individual provider Occupational Therapist · NPI 1265980304

Dominique Nicole Light, MOTR/L is an Occupational Therapist in Jackson, Tennessee. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
Specialties on file
2

Practice location Address checks out

176 W University Pkwy Ste E
Jackson, TN 38305-1618
Phone: (313) 004-9507
Fax: (731) 300-4951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 0119007097 (MD)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1265980304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESOctober 22, 2023
Certification dateOctober 22, 2023

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