Individual
ANDREW SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2058 S STATE ST, SUITE 500, ANN ARBOR, MI 48104-4786
(734) 913-0300
Mailing address
2058 S STATE ST, SUITE 500, ANN ARBOR, MI 48104-4786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016089
MI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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