| NPI | 1043565138 |
|---|---|
| Former Name | EMILY JEAN TIERNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT4976) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT9422) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2022-01-06 |