Provider Demographics
NPI:1710291125
Name:CREATIVE HANDS OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:CREATIVE HANDS OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:OLMSCHENK
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:910-755-6075
Mailing Address - Street 1:624 US HIGHWAY 17 S
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HOLLY RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:28445-8660
Mailing Address - Country:US
Mailing Address - Phone:910-329-4444
Mailing Address - Fax:910-329-4445
Practice Address - Street 1:624 US HIGHWAY 17 S
Practice Address - Street 2:SUITE 5
Practice Address - City:HOLLY RIDGE
Practice Address - State:NC
Practice Address - Zip Code:28445-8660
Practice Address - Country:US
Practice Address - Phone:910-329-4444
Practice Address - Fax:910-329-4445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CREATIVE HANDS OCCUPATIONAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty