Individual
HALEY A DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N WISE DR, SUMTER, SC 29153-8580
(803) 965-9002
Mailing address
4100 BROAD ST LOT 35, SUMTER, SC 29154-1612
(803) 406-1976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6953
SC
Other
Enumeration date
01/26/2026
Last updated
01/29/2026
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