Provider Demographics
NPI:1144832668
Name:MORICZ, EMILY GARCIA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:GARCIA
Last Name:MORICZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 LONGLEAF DR W
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-1508
Mailing Address - Country:US
Mailing Address - Phone:954-305-2063
Mailing Address - Fax:
Practice Address - Street 1:7150 MANOR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-3110
Practice Address - Country:US
Practice Address - Phone:954-305-2063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT007162225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty