Organization
HOMETOWN THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL WILLIAM HARRIS JR. COTA (MEMBER)
(910) 967-3444
Entity
Organization
Contact information
Practice address
1869 HAW BRANCH RD, BEULAVILLE, NC 28518-9557
(910) 967-3444
Mailing address
1869 HAW BRANCH RD, BEULAVILLE, NC 28518-9557
(910) 967-3444
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/20/2025
Last updated
01/21/2026
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