Provider Demographics
NPI:1720180557
Name:SQUIRES, BARBARA
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SQUIRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PUGET SOUND HEALTH CARE SYSTEM
Mailing Address - Street 2:AMERICAN LAKE BLIND REHABILITATION CENTER, 112BRC/A
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-5000
Mailing Address - Country:US
Mailing Address - Phone:253-583-1220
Mailing Address - Fax:253-589-4081
Practice Address - Street 1:PUGET SOUND HEALTH CARE SYSTEM
Practice Address - Street 2:AMERICAN LAKE BLIND REHABILITATION CENTER, 112BRC/A
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-5000
Practice Address - Country:US
Practice Address - Phone:253-583-1220
Practice Address - Fax:253-589-4081
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind