Individual provider · Type 1 NPI

Jasa Defazio, COTA/L

Pediatric Neurodevelopmental Disabilities Physician · Chandler, AZ

NPI number 1740766567 Active

Practice location

2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2882

Mailing address

7340 E Legacy Blvd Unit H4005
Scottsdale, AZ 85255-6531

Specialties and licenses

TaxonomyCodeLicense
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008XOTA-046588 (AZ)

Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

13 other providers at this address

About NPI 1740766567

Jasa Defazio, COTA/L's National Provider Identifier is 1740766567, issued on Jul 15, 2018. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Chandler, AZ. The record was last updated on Jul 15, 2018.