Individual
MICHAELA ROSE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2900 S 1ST ST APT 713, AUSTIN, TX 78704-6372
(240) 463-9198
Mailing address
2900 S 1ST ST APT 713, AUSTIN, TX 78704-6372
(240) 463-9198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
116307
TX
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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