Individual
MRS. MEGHAN ANN TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8303
Mailing address
50 AIRPORT RD, QUINCY, MA 02171-1526
(617) 347-0982
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10045
MA
Other
Enumeration date
05/08/2013
Last updated
05/04/2017
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