Organization
CAROLYN SQUIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SQUIRE OTR/L (OWNER)
(941) 322-9005
Entity
Organization
Contact information
Practice address
3214 HIDDEN RIVER RD, SARASOTA, FL 34240-9175
(941) 322-9005
Mailing address
3214 HIDDEN RIVER RD, SARASOTA, FL 34240-9175
(941) 322-9005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
04/29/2021
Last updated
06/15/2021
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