Provider Demographics
NPI:1811446529
Name:MOROZ, VERA
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:MOROZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:LOZKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4001 PELHAM RD
Mailing Address - Street 2:APT 323
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-4300
Mailing Address - Country:US
Mailing Address - Phone:864-529-5612
Mailing Address - Fax:
Practice Address - Street 1:4001 PELHAM RD
Practice Address - Street 2:APT 323
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4300
Practice Address - Country:US
Practice Address - Phone:864-529-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1992225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant