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

Jasa Defazio, COTA/L

Individual provider Pediatric Neurodevelopmental Disabilities Physician · NPI 1740766567

Jasa Defazio, COTA/L is a Pediatric Neurodevelopmental Disabilities Physician in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2882
Phone: (480) 855-0474
Show map & directions

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

Specialties & licences

Pediatric Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X · Licence OTA-046588 (AZ)

Record details

NPI number1740766567
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJuly 15, 2018
Last updated in NPPESJuly 15, 2018

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