Healthcare Provider Details

I. General information

NPI: 1750244521
Provider Name (Legal Business Name): EMILY GRACE GROARKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30000 ANNS CHOICE WAY
WARMINSTER PA
18974-3375
US

IV. Provider business mailing address

477 PAINTER WAY
LANSDALE PA
19446-4037
US

V. Phone/Fax

Practice location:
  • Phone: 215-443-4923
  • Fax:
Mailing address:
  • Phone: 267-663-8304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC020338
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: