Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE NICOLE LIGHT, MOTR/L
ActiveDOMINIQUE NICOLE LIGHT, MOTR/L is a Pediatric Occupational Therapist healthcare provider located in JACKSON, Tennessee. NPI 1265980304 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · JACKSON, TN
Registration Details
- NPI Number
- 1265980304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2016 (9.860316117376 yrs)
- Last Updated
- Oct 22, 2023
- License
-
0119007097 (MD)
Practice Information
- Address
-
176 W UNIVERSITY PKWY STE EJACKSON, TN, 383051618Browse TN providers · Browse ZIP 38305
- Phone
- 3130049507
- Fax
- 7313004951
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Pediatric Occupational Therapist
Other Pediatric Occupational Therapist Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| GINA KIM LEE | OTR | 1861523433 |
| PENNY ANN GIBSON | — | 1053926659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.