Shannon Patrice Tierney, DT
NPI #1730453713 in Spring Grove, Illinois
Provider Information
- NPI Number
- 1730453713
- Entity Type
- Individual
- Name
- Shannon Patrice Tierney, DT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Credential
- DT
- Enumeration Date
- Mar 8, 2012
- Last Updated
- Mar 8, 2012
Practice Location
- Address
- 11104 SANDPIPER CT
- City
- Spring Grove
- State
- Illinois
- ZIP Code
- 60081-9629
- Phone
- (847) 912-6623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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