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Individual
LAUREN VICTORIA TIERNEY
Active
Individual
LAUREN VICTORIA TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022066
PA
Other
Enumeration date
07/23/2012
Last updated
03/23/2021
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