Individual
MRS. MEREDITH WILLIAMS SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 PARK WEST CIR STE 100, MIDLOTHIAN, VA 23114-4518
(804) 482-2647
Mailing address
216 E BROOK RUN DR, RICHMOND, VA 23238-6204
(804) 784-5651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000355
VA
Other
Enumeration date
10/14/2012
Last updated
10/14/2012
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