BRENTOM, LLC,

PEORIA, AZ
NPI1023540531
Doing Business AsSHARKKS THERAPY
Entity TypeOrganization
Authorized ContactSHAWN MAURICE WILLIAMS
Occupational Therapist/ Owner
602-430-8665
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AZ  2491)
Additional Taxonomies225X00000X Occupational Therapist
225XH1200X Occupational Therapist, Hand
(Licence: AZ  2491)
225XM0800X Occupational Therapist, Mental Health
(Licence: AZ  2491)
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: AZ  2491)
225XP0200X Occupational Therapist, Pediatrics
(Licence: AZ  2491)
Enumeration Date2017-04-03
Last Update Date2021-01-18
Business Address
BRENTOM, LLC,
20783 N 83RD AVE STE 103
PEORIA, AZ 85382-7430
Phone number: 623-444-8880
Mailing Address
BRENTOM, LLC,
20783 N 83RD AVE STE 103
PEORIA, AZ 85382-7430
Phone number: 623-444-8880