Organization
HOME THERAPY INC.
Active
Parent organization
HOME THERAPY INC. DBA ACTIVE MEDICAL & MOBILITY
Other names
Active Medical & Mobility
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME THERAPY INC. DBA ACTIVE MEDICAL & MOBILITY
Authorized official
LORRAINE BUCKNER (PRESIDENT)
(321) 225-8960
Entity
Organization
Contact information
Practice address
3554 S HOPKINS AVE STE B, TITUSVILLE, FL 32780-5720
(321) 225-8960
(866) 430-7946
Mailing address
135 E MAIN ST, ADAMSVILLE, TN 38310-2315
(731) 632-9820
(866) 430-7946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
08/26/2024
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