Healthcare Provider Details

I. General information

NPI: 1508508268
Provider Name (Legal Business Name): SYDNEY NICHOLE CZUPRYNSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SYDNEY NICHOLE BRANDES

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 E THOUSAND OAKS BLVD
THOUSAND OAKS CA
91360-5707
US

IV. Provider business mailing address

1203 FLYNN RD UNIT 160
CAMARILLO CA
93012-6203
US

V. Phone/Fax

Practice location:
  • Phone: 805-379-2132
  • Fax: 805-917-4206
Mailing address:
  • Phone: 805-804-4168
  • Fax: 805-830-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: