Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aaron Tan Realista

Individual provider Occupational Therapist · NPI 1073125936

Aaron Tan Realista is an Occupational Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-2514
Phone: (904) 542-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT23056 (FL)

Record details

NPI number1073125936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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