IndividualActive
Christopher Bruce, COTA
NPI 1114442233 · Occupational Therapy Assistant · Union, MS
Provider details
- NPI number
- 1114442233
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- TA3256 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 Kirkland St
Union, MS 39365-3205
Phone: (601) 774-8233
Approximate (ZIP-level) locationGet directions
Mailing address
354 Kings Ridge Cir
Brandon, MS 39047-6030
Registry dates
- Enumerated
- 2017-08-09
- Last updated
- 2017-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.