TIMOTHY PENTON

PHOENIX, AZ
NPI1912425760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  6818)
Enumeration Date2017-08-31
Last Update Date2022-07-21
Business Address
TIMOTHY PENTON
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 602-324-6500
Mailing Address
TIMOTHY PENTON
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 602-324-6500