Individual
MRS. MICHELLE TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
63 LOCUST ST, DANVERS, MA 01923-2240
(978) 777-0011
Mailing address
63 LOCUST ST, DANVERS, MA 01923-2240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10205
MA
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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