NPI | 1508065079 |
---|---|
Former Name | KRISTIN N TIERNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC008954) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00334800) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2013-10-22 |