Individual
SCOTT SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601
Mailing address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
9789
NC
Other
Enumeration date
08/10/2015
Last updated
05/29/2019
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