Individual
LYNN ANN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2813
(479) 582-2740
Mailing address
1571 N ARTHURS CT, FAYETTEVILLE, AR 72701-2789
(476) 444-8993
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR832
AR
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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