Laura Elizabeth Tietjen, MPT OCS

NPI #1023061074 in Glendale, Arizona

Provider Information

NPI Number: 1023061074
Entity Type: Individual
Name: Laura Elizabeth Tietjen, MPT OCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT OCS
Enumeration Date: May 19, 2006
Last Updated: Oct 18, 2010

Practice Location

Address: 20325 N 51ST AVE
Address 2: STE 146
City: Glendale
State: Arizona
ZIP Code: 85308-5674
Phone: (623) 249-3216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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