Individual
KAITLIN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
200 HOSPITAL DR, GLEN BURNIE, MD 21061-5884
(410) 768-5555
(888) 313-5209
Mailing address
200 HOSPITAL DR STE 400, GLEN BURNIE, MD 21061-5893
(410) 768-5555
(888) 313-5209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23986
MA
225100000X
Physical Therapist
Primary
27082
MD
2251X0800X
Orthopedic Physical Therapist
2016027715
MO
Other
Enumeration date
08/18/2016
Last updated
04/07/2021
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