Individual
MR. SHAWN M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
20783 N 83RD AVE STE 103, PEORIA, AZ 85382-7430
(623) 444-8880
(623) 444-9282
Mailing address
20783 N 83RD AVE STE 103, PEORIA, AZ 85382-7430
(623) 444-8880
(623) 444-9282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2491
AZ
225X00000X
Occupational Therapist
Primary
2491
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007171346
AETNA
AZ
05
—
501032
—
AZ
01
—
AZ0310170
BCBS
AZ
Enumeration date
08/29/2005
Last updated
03/19/2025
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