MICHAEL JON TIERNEY

MILWAUKEE, WI
NPI1598013807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  1562-027)
Enumeration Date2012-08-16
Last Update Date2012-08-16
Business Address
-- MICHAEL JON TIERNEY OTA
1555 S LAYTON BLVD
MILWAUKEE, WI 53215-1924
Phone number: 414-902-2416
Mailing Address
-- MICHAEL JON TIERNEY OTA
8135 S 57TH ST
FRANKLIN, WI 53132-9241
Phone number: 414-303-2865
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