Organization
PRIME LIGHT HEALTH SERVICES
Active
Other names
PRIME LIGHT HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRAT O AROWOROWON OT (COTA/L)
(443) 857-7475
Entity
Organization
Contact information
Practice address
1319 WOODBRIDGE STATION WAY STE 101, EDGEWOOD, MD 21040-3852
(000) 000-0000
Mailing address
1319 WOODBRIDGE STATION WAY, STE 101, EDGEWOOD, MD 21040
(443) 857-7975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/30/2024
Last updated
10/29/2025
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