Doctor Name: | ERICA J KIERNAN |
NPI Number: | 1023147329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT/OT |
License Number: | PT 21925 |
Business Practice Address: | 105 Mariner Health Way Ste 213 St Augustine, FL - 320863251 |
Business Phone Number: | 9042174259 |
Business Fax Number: | 9042174251 |
Mailing Address: | 438 Shamrock Rd, ST AUGUSTINE |
State: | FL |
Postal Code: | 320866562 |
Phone Number: | 9047945880 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2007 |
NPI Last Update Date: | 07/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 21925 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |