Individual
MRS. TANIE S SQUIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
12124 GEIST COVE DR, INDIANAPOLIS, IN 46236-9192
(317) 627-1832
(317) 826-2755
Mailing address
12124 GEIST COVE DR, INDIANAPOLIS, IN 46236-9192
(317) 627-1832
(317) 826-2755
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
31000552A
IN
Other
Enumeration date
04/18/2006
Last updated
05/15/2008
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