Provider Demographics
NPI:1619255726
Name:MORAK, SHARON HORENSTEIN (OTR)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:HORENSTEIN
Last Name:MORAK
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 1:13708 BEECHWOOD POINT RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2529
Mailing Address - Country:US
Mailing Address - Phone:804-739-4991
Mailing Address - Fax:
Practice Address - Street 1:13708 BEECHWOOD POINT RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2529
Practice Address - Country:US
Practice Address - Phone:804-739-4991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000294225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist