Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Ellen Raeburn Bruce, MS, OTRL

Individual provider Pediatric Occupational Therapist · NPI 1205045408

Mrs. Ellen Raeburn Bruce, MS, OTRL is a Pediatric Occupational Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1818 Merriman Ave
Charlotte, NC 28203-4612
Phone: (919) 593-3582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6050 (NC)

Record details

NPI number1205045408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTRL
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021

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