Jasa Defazio
COTA/L | Pediatric Neurodevelopmental Disabilities | Female
Jasa Defazio, COTA/L is a Chandler, Arizona based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Jasa Defazio is
2175 N Alma School Rd Ste A106, Chandler, Arizona - 85224-2882. She can be contacted on phone at
480-855-0474.
Jasa Defazio is a sole proprietor of her business.
NPI number (Unique professional ID) for Jasa Defazio is
1740766567 which was assigned by NPPES on 15 Jul, 2018 and it was last updated on 15 Jul, 2018.
Jasa Defazio license number is
OTA-046588 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in Arizona.
Jasa Defazio treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Jasa Defazio basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Neurodevelopmental Disabilities |
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Provider Name : | Jasa Defazio |
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Credential : | COTA/L |
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Gender : | Female |
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Business Address:
Jasa Defazio address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 2175 N Alma School Rd Ste A106 Chandler, AZ, 85224-2882 United States |
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Phone Number : | 480-855-0474 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1740766567 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 15 Jul, 2018 |
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Last Updated On : | 15 Jul, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jasa Defazio are as mentioned. Primary taxonomy code for Jasa Defazio, COTA/L is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | OTA-046588 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Jasa Defazio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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946932790 | Other | PA | UNITED HEALTH CARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 7340 E Legacy Blvd Unit H4005 Scottsdale, AZ, 85255-6531 United States |
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Phone Number : | 484-400-1342 |
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Business Location:
Patients can refer following map for directions to
Jasa Defazio practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.