Healthcare Provider Details

I. General information

NPI: 1346151560
Provider Name (Legal Business Name): SYDNIE BARBOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W ELLIOT RD
TEMPE AZ
85284-1310
US

IV. Provider business mailing address

1250 S RIALTO UNIT 31
MESA AZ
85209-3774
US

V. Phone/Fax

Practice location:
  • Phone: 480-374-4341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOTH-010428
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: