Organization
CANFIELD PT PLLC
Active
Organization
CANFIELD PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI-ANN TIERNEY PT (OWNER/PT)
(208) 755-3960
Entity
Organization
Contact information
Practice address
402 W CANFIELD AVE STE 5, COEUR D ALENE, ID 83815-7784
(208) 755-3960
Mailing address
PO BOX 3138, HAYDEN, ID 83835-3138
(208) 755-3960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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