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Individual

CAROLYN SQUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1963
FL
225X00000X
Occupational Therapist
Primary
1963
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
09/30/2014
Last updated
09/12/2025
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