Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breanne Squire

Individual provider Occupational Therapy Assistant · NPI 1952019176

Breanne Squire is an Occupational Therapy Assistant in Isanti, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
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Practice location Address checks out

610 Whiskey Rd NW Apt 320
Isanti, MN 55040-6503
Phone: (612) 868-0956
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2464 (MN)

Record details

NPI number1952019176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address610 Whiskey Rd Nw Apt 320, Isanti, MN 55040-6503

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