IndividualActive
Tammy Gordon, COTA
NPI 1780846063 · Health Maintenance Organization · Hilton Head, SC
Provider details
- NPI number
- 1780846063
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA10395 (FL)
Specialties & taxonomies
Managed Care Organizations
Practice location
175 Colonnade Clb
Hilton Head, SC 29928-7804
Phone: (850) 960-1650
Approximate (ZIP-level) locationGet directions
Mailing address
175 Colonnade Clb
Hilton Head, SC 29928-7804
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.