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Individual

MR. TATE FRYCZYNSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MOT, OTR

Contact information

Practice address
20414 N 27TH AVE STE 410, PHOENIX, AZ 85027-3250
(623) 263-3966
Mailing address
42424 N GAVILAN PEAK PKWY UNIT 16206, ANTHEM, AZ 85086-3710
(201) 994-9940

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010168
AZ
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/29/2025
Last updated
03/09/2026
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