Individual
MISS ELIZABETH ANN MOCZYDLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0785
Mailing address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0785
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
975823
AHCCCS ID
AZ
Enumeration date
03/07/2007
Last updated
07/08/2007
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