Organization
HOME THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DOZIER SIDERS RCP CRT CFOM CCT (OWNER)
(843) 464-9688
Entity
Organization
Contact information
Practice address
3391 HWY. 76 E., MULLINS, SC 29574
(843) 464-9688
(843) 464-9687
Mailing address
PO BOX 442, 3391 HWY. 76 E., MULLINS, SC 29574
(843) 464-9688
(843) 464-9687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2236
—
SC
Enumeration date
06/22/2006
Last updated
01/19/2012
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