Individual
JANET RUTH SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
(801) 951-2273
Mailing address
213 N LAKEVIEW DR, CLEARFIELD, UT 84015-2220
(801) 499-4313
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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