Individual
KATI ANN SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
30795 23 MILE RD, CHESTERFIELD, MI 48047-5720
(586) 421-3000
Mailing address
73941 MADISON ST, ARMADA, MI 48005-4812
(810) 304-0706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011206
MI
Other
Enumeration date
02/01/2022
Last updated
11/04/2022
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