Individual
MICHAEL MCKIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 CENTERVILLE RD, WARWICK, RI 02886-4347
(401) 732-5100
Mailing address
15 PEARL AVE, WARWICK, RI 02889-8914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02023
RI
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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