Individual
ANDREA TIERNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
7912 E MENTON AVE, ANAHEIM, CA 92808-1559
(714) 992-4292
Mailing address
7912 E MENTON AVE, ANAHEIM, CA 92808-1559
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3708
CA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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