Organization
WONDERLIGHT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA LEIGH DEKUIPER OTD, OTR/L (CO-OWNER, OCCUPATIONAL THERAPIST)
(615) 294-3084
Entity
Organization
Contact information
Practice address
315 DONNA DR, HENDERSONVILLE, TN 37075
(615) 294-3084
(615) 235-1292
Mailing address
315 DONNA DR, HENDERSONVILLE, TN 37075
(615) 294-3084
(615) 235-1292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/05/2019
Last updated
08/01/2025
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