Provider Demographics
NPI:1093362444
Name:PYZDROWSKI, CAROLINE MICHAELA (PT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MICHAELA
Last Name:PYZDROWSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 E OSBORN RD APT 149W
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7465
Mailing Address - Country:US
Mailing Address - Phone:630-947-9375
Mailing Address - Fax:
Practice Address - Street 1:7898 OSTROW ST STE A&B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3640
Practice Address - Country:US
Practice Address - Phone:858-863-7945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302328225100000X
AZ30842225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist