Neurodivergent Support Services LLC
NPI #1356219661 in Huntingtown, Maryland
Provider Information
- NPI Number
- 1356219661
- Entity Type
- Organization
- Organization Name
- Neurodivergent Support Services LLC
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Oct 28, 2025
- Last Updated
- Oct 28, 2025
Practice Location
- Address
- 3145 QUEENSBERRY DR
- City
- Huntingtown
- State
- Maryland
- ZIP Code
- 20639-2305
- Phone
- (571) 389-4447
Authorized Official
- Name
- CANAAN BRUCE, COTA, MD
- Title
- COTA
- Phone
- (571) 389-4447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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