Provider Demographics
NPI:1801623913
Name:HOLZKNECHT, MARITZA GARCIA (OTR/L)
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:GARCIA
Last Name:HOLZKNECHT
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 1:648 OAK RUN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23927-3622
Mailing Address - Country:US
Mailing Address - Phone:540-848-1963
Mailing Address - Fax:
Practice Address - Street 1:184 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23927-9010
Practice Address - Country:US
Practice Address - Phone:434-206-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006393225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist