Individual
BRENDAN KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 S 15TH ST, PHILADELPHIA, PA 19146-4801
(914) 330-3368
Mailing address
1321 S 15TH ST, PHILADELPHIA, PA 19146-4801
(914) 330-3368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013149
PA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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