Individual
KRISTIN TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(832) 937-5932
Mailing address
318 CLEAR LAKE RD, CLEAR LK SHRS, TX 77565-2361
(414) 975-7317
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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