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NPI Code Detail

MEDICARE: MICHELLE CZUBA

MEDICARE: MICHELLE CZUBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6743AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043759566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CZUBA
Provider Business Mailing Address
First Line : 21045 N 9TH PL STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5635
Country : US
Telephone Number : 602-723-2300
Fax Number : 602-726-2322
Provider Business Practice Location Address
First Line : 21045 N 9TH PL STE 204
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-5635
Country : US
Telephone Number : 602-726-2300
Fax Number : 602-726-2322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2017
Last Update Date : 09/16/2025

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Directions to “ MICHELLE CZUBA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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