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1912425760
TIMOTHY PENTON
PHOENIX, AZ
NPI
1912425760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 6818)
Enumeration Date
2017-08-31
Last Update Date
2022-07-21
Business Address
TIMOTHY PENTON
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 602-324-6500
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Mailing Address
TIMOTHY PENTON
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 602-324-6500
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