Healthcare Provider Details

I. General information

NPI: 1003720731
Provider Name (Legal Business Name): CAITLIN MICHELE CZYZEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 ENTERPRISE DR STE 200
WEST CHESTER PA
19380-5990
US

IV. Provider business mailing address

1380 ENTERPRISE DR STE 200
WEST CHESTER PA
19380-5990
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-3600
  • Fax:
Mailing address:
  • Phone: 610-436-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License NumberPT034400
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: