Individual
MRS. JENNIFER JO SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14391 METROPOLIS AVE, SUITE 101, FORT MYERS, FL 33912-4423
(239) 561-2778
(239) 561-8107
Mailing address
9566 BLUE STONE CIR, FORT MYERS, FL 33913-6719
(309) 241-8820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 17003
FL
Other
Enumeration date
04/24/2008
Last updated
08/22/2016
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