| Brentom, Llc, | |
|
20783 N 83rd Ave Ste 103, Peoria, AZ 85382-7430 | |
| (623) 444-8880 | |
| (623) 444-9282 |
| Full Name | Brentom, Llc, |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 20783 N 83rd Ave Ste 103, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023540531 | NPI | - | NPPES |
| 501032 | Medicaid | AZ |
| Provider Name | Shawn M Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639162357 PECOS PAC ID: 0244268969 Enrollment ID: I20050802001381 |
| Provider Name | Mikayla Rae Haukenfrers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538916705 PECOS PAC ID: 7810431194 Enrollment ID: I20240627001304 |
| Provider Name | Stephanie Bujnoski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568299451 PECOS PAC ID: 2860915808 Enrollment ID: I20250331001475 |
| Mailing Address | Practice Location Address |
|---|---|
| Brentom, Llc, 20783 N 83rd Ave Ste 103, Peoria, AZ 85382-7430 Ph: (623) 444-8880 | Brentom, Llc, 20783 N 83rd Ave Ste 103, Peoria, AZ 85382-7430 Ph: (623) 444-8880 |
Michelle Moore, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12679 W Desert Mirage Dr, Peoria, AZ 85383 Phone: 719-217-7822 | |
Courtney Jiura, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9970 W Beardsley Rd, Peoria, AZ 85382 Phone: 623-412-5400 | |
Susan T Gregg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8765 W Kelton Ln, Suite 116, Peoria, AZ 85382 Phone: 623-977-4911 | |
Megan Ziegler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8764 W Adam Ave, Peoria, AZ 85382 Phone: 623-341-4723 | |
Kristin Lee Juhas, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7048 W Eagle Ridge Ln, Peoria, AZ 85383 Phone: 623-825-1489 | |
Denise Marie Mcgowen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8449 W Troy St, Peoria, AZ 85382 Phone: 907-232-2921 | |
Mrs. Andrea Jane Robinson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13373 Plaza Del Rio Blvd, Peoria, AZ 85381 Phone: 480-215-6717 |