Individual
MRS. TRICIA A KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3927 E BAUTISTA RD, GILBERT, AZ 85297-5202
(480) 322-8863
Mailing address
3927 E BAUTISTA RD, GILBERT, AZ 85297-5202
(480) 322-8863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5784
AZ
Other
Enumeration date
07/17/2007
Last updated
02/06/2018
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