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Organization

NEURODIVERGENT SUPPORT SERVICES LLC

Active
Other names
Blooming for Success
Organization subpart
No

Provider details

NPI number
Authorized official
CANAAN BRUCE COTA, MD (COTA)
(571) 389-4447
Entity
Organization

Contact information

Practice address
3145 QUEENSBERRY DR, HUNTINGTOWN, MD 20639-2305
(571) 389-4447
Mailing address
3145 QUEENSBERRY DR, HUNTINGTOWN, MD 20639-2305
(410) 344-7071

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
10/28/2025
Last updated
05/07/2026
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