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

Individual provider Pediatric Occupational Therapist · NPI 1720291123

Phaedra Antioco, OTR is a Pediatric Occupational Therapist in Chandler, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1401 E Folley Pl
Chandler, AZ 85225
Phone: (520) 401-1081
Fax: (480) 699-6115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 2668 (AZ)

Record details

NPI number1720291123
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1401 E. Folley Place, Chandler, AZ 85225

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