Individual
JENNIFER LYNN SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4320 196TH ST SW STE A, LYNNWOOD, WA 98036-6753
(425) 967-0051
(425) 967-0053
Mailing address
4805 SPRING FLOWER CT, INDIANAPOLIS, IN 46237-3597
(317) 442-8098
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009298A
IN
225100000X
Physical Therapist
1193648
TX
225100000X
Physical Therapist
60151157
WA
Other
Enumeration date
05/18/2008
Last updated
08/10/2010
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