Provider Demographics
NPI:1497802045
Name:CAYWOOD, JENNIFER KAYE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:KAYE
Last Name:CAYWOOD
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 1:991 S. STALOCTITES CIRCLES
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85602
Mailing Address - Country:US
Mailing Address - Phone:520-560-5245
Mailing Address - Fax:
Practice Address - Street 1:THERAPY PLAY 4 KIDZ, LLC DBA ARIZONA AUTISM
Practice Address - Street 2:21045 N. 9TH PLACE, STE 204
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024
Practice Address - Country:US
Practice Address - Phone:602-726-2300
Practice Address - Fax:602-726-2322
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4102225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ380324Medicaid