Individual
ERICA J KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/OT
Contact information
Practice address
105 MARINER HEALTH WAY, STE 213, ST AUGUSTINE, FL 32086-3251
(904) 217-4259
(904) 217-4251
Mailing address
438 SHAMROCK RD, ST AUGUSTINE, FL 32086-6562
(904) 794-5880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 21925
FL
225X00000X
Occupational Therapist
Primary
OT12930
FL
Other
Enumeration date
03/04/2007
Last updated
07/21/2009
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