Pretty, Susan Hodge

Pretty, Susan Hodge is an sole proprietor health care provider with primary practice located at 1483 Tobias Gadson Blvd Suite 205A, Charleston SC 29407-8702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pretty, Susan Hodge can be contacted via phone (843) 814-3969.

Contact Information

Primary practice address
1483 Tobias Gadson Blvd Suite 205A Charleston SC 29407-8702
Phone: (843) 814-3969
Fax: (843) 766-2315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 160 South Carolina

Profile Details

NPI number 1235340191
LBN Legal business name Pretty, Susan Hodge
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235340191 NPPES
South Carolina MEDICAID THOO32

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