Individual
TIERZA RENE CLERC
Active
Individual
TIERZA RENE CLERC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00013224
WA
225X00000X
Occupational Therapist
Primary
61394253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175380
L&I STATE NUMBER
WA
Enumeration date
12/18/2006
Last updated
10/25/2023
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