Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASA DEFAZIO, COTA/L
ActiveJASA DEFAZIO, COTA/L is a Neurodevelopmental Disabilities healthcare provider located in CHANDLER, Arizona. NPI 1740766567 is currently active in the NPPES registry. Verify at CMS.
Neurodevelopmental Disabilities · CHANDLER, AZ
Registration Details
- NPI Number
- 1740766567
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2018 (8.0920468794675 yrs)
- Last Updated
- Jul 15, 2018
- License
-
OTA-046588 (AZ)
Practice Information
- Address
-
2175 N ALMA SCHOOL RD STE A106CHANDLER, AZ, 852242882Browse AZ providers · Browse ZIP 85224
- Phone
- 4808550474
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.