Individual
MR. SHAWN M WILLIAMS
Active
Individual
MR. SHAWN M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
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
Update your record
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