Organization
CREATIVE HANDS OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARANDA DENNY TAMSON COTA/L (PRESIDENT)
(910) 755-6075
Entity
Organization
Contact information
Practice address
58 PHYSICIANS DR STE 106, SUPPLY, NC 28462-4216
(910) 755-6075
(910) 755-6076
Mailing address
58 PHYSICIANS DR NW STE 106, SUPPLY, NC 28462-4216
(910) 755-6075
(910) 755-6076
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211080
—
NC
05
—
7301202
—
NC
Enumeration date
05/10/2006
Last updated
05/14/2026
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