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Individual
KAITLIN TIERNEY
Active
Individual
KAITLIN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23986
MA
225100000X
Physical Therapist
Primary
27082
MD
2251X0800X
Orthopedic Physical Therapist
2016027715
MO
Other
Enumeration date
08/18/2016
Last updated
04/07/2021
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