Individual
MRS. MEGAN ANNE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
(630) 907-9165
Mailing address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
(630) 907-9165
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.008104
IL
Other
Enumeration date
02/27/2008
Last updated
01/17/2012
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