Provider Demographics
NPI:1992476121
Name:GUZEWICH, EMILY (OTR)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GUZEWICH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 N GLEBE RD APT 4
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-3318
Mailing Address - Country:US
Mailing Address - Phone:315-985-5345
Mailing Address - Fax:
Practice Address - Street 1:9642 BURKE LAKE RD STE 1
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3024
Practice Address - Country:US
Practice Address - Phone:703-425-1698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
VA0119-009247225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist