IndividualActive
Canaan Bruce, COTA
NPI 1144879941 · Occupational Therapy Assistant · Huntingtown, MD
Provider details
- NPI number
- 1144879941
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- T00411 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3145 Queensberry Dr
Huntingtown, MD 20639-2305
Phone: (571) 389-4447
Approximate (ZIP-level) locationGet directions
Mailing address
3145 Queensberry Dr
Huntingtown, MD 20639-2305
Registry dates
- Enumerated
- 2019-09-05
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.