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Individual

MRS. KELLY JEAN SQUIRE-HAMBLET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
Mailing address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
313565
OR

Other

Enumeration date
08/13/2013
Last updated
10/03/2025
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