Individual
JENIFER R KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1397 S CANFIELD NILES RD, UNIT 1, AUSTINTOWN, OH 44515-4039
(330) 259-1758
(330) 259-1759
Mailing address
7620 SOUTHERN BLVD, SUITE 3, BOARDMAN, OH 44512-5667
(330) 965-9330
(330) 965-9308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007377
OH
225100000X
Physical Therapist
22891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007377
PT LICENSE
OH
Enumeration date
09/07/2010
Last updated
09/07/2010
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