Provider Demographics
NPI:1851128128
Name:CLEPHAS-SCHULZ, ERIN M (OTR/L)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:M
Last Name:CLEPHAS-SCHULZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 N 11TH ST UNIT 18
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5068
Mailing Address - Country:US
Mailing Address - Phone:502-235-7328
Mailing Address - Fax:
Practice Address - Street 1:13460 N 67TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1000
Practice Address - Country:US
Practice Address - Phone:623-878-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7013225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist