Provider Demographics
NPI:1548213853
Name:CANNADY, MARIA BINNS (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:BINNS
Last Name:CANNADY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4412 TWEEDSMUIR PL
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1294
Mailing Address - Country:US
Mailing Address - Phone:804-639-5778
Mailing Address - Fax:
Practice Address - Street 1:12882 PATRICK HENRY HWY
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:VA
Practice Address - Zip Code:23002-3929
Practice Address - Country:US
Practice Address - Phone:804-561-1617
Practice Address - Fax:804-561-1618
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002329225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist