# PRIME LIGHT HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIME LIGHT HEALTH SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053120592
- **Authorized official:** SHAKIRAT O AROWOROWON OT (COTA/L)
- **Authorized official phone:** (443) 857-7475

## Contact information

- **Practice address:** 1319 WOODBRIDGE STATION WAY STE 101, EDGEWOOD, MD 21040-3852
- **Practice address phone:** (000) 000-0000
- **Mailing address:** 1319 WOODBRIDGE STATION WAY, STE 101, EDGEWOOD, MD 21040
- **Mailing address phone:** (443) 857-7975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 12/30/2024
- **Last updated:** 10/29/2025