Individual
MRS. NATALIE B TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2325 CROSSING CT, MANDEVILLE, LA 70448-8472
(850) 374-1118
Mailing address
2325 CROSSING CT, MANDEVILLE, LA 70448-8472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
303792
LA
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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