Individual
HEATHER MARIE SQUANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
600 E CARPENTER ST, MIDLAND, MI 48640-5417
(989) 923-3681
Mailing address
61 MARKEL RD, MUNGER, MI 48747-9763
(989) 737-1577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007687
MI
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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