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Individual

MRS. EILEEN MARY SQUIRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
3121 SQUALICUM PKWY, BELLINGHAM, WA 98225-1937
(360) 734-6760
(360) 752-0660
Mailing address
2421 YEW STREET RD, BELLINGHAM, WA 98229-8811
(360) 714-8445

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004000
WA

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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