Organization
LIGHTHOUSE THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIDRA M GLOVER OTR/L (OWNER)
(803) 900-4020
Entity
Organization
Contact information
Practice address
437A HIGHWAY 601 S, LUGOFF, SC 29078-8918
(803) 900-4020
(803) 753-9362
Mailing address
PO BOX 1238, LUGOFF, SC 29078-1238
(803) 900-4020
(803) 753-9362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/08/2016
Last updated
08/07/2025
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