Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Alison Fukuzawa, OTR/L

Individual provider Occupational Therapist · NPI 1629676135

Nicole Alison Fukuzawa, OTR/L is an Occupational Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4202 N 20th Ave
Phoenix, AZ 85015-5101
Phone: (714) 642-7543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (AZ)

Record details

NPI number1629676135
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 16, 2020
Certification dateOctober 14, 2020

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