Individual
ALLISON ROSE TIETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
200 COUNTRY BROOK DR, KELLER, TX 76248-2125
(817) 562-3100
Mailing address
7700 CARIBOU CT, FORT WORTH, TX 76137-5123
(402) 560-7060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122838
TX
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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