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Individual

ABIGAIL REBECCA SQUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20502 ROOSEVELT ST, ELKHORN, NE 68022-4148
(402) 955-6319
Mailing address
2904 S 148TH ST, OMAHA, NE 68144-5452
(402) 660-8202

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MO
225XP0200X
Pediatric Occupational Therapist
IA
225XP0200X
Pediatric Occupational Therapist
Primary
NE

Other

Enumeration date
05/28/2019
Last updated
01/14/2026
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