# FREEDOM LIGHT THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freedom Light Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023893674
- **Authorized official:** MS. LINDA B RAINWATER (OWNER)
- **Authorized official phone:** (918) 272-9919

## Contact information

- **Practice address:** 435 E 2ND AVE, OWASSO, OK 74055-3208
- **Practice address phone:** (539) 525-5356
- **Mailing address:** PO BOX 54, OWASSO, OK 74055-0054
- **Mailing address phone:** (918) 272-9919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 08/30/2023
