Individual
CAROLYN SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 487-5000
Mailing address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 957-8935
(941) 487-5430
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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