Individual
JACQUELINE KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27240 HAGGARTY, SUITE E15, FARMINGTON HILLS, MI 48331
(248) 488-0350
Mailing address
2359 NEWPORT STREET, DENVER, CO 80207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011802
CO
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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