Doctor Name: | TOM JOSEPH TIERNEY |
NPI Number: | 1912020801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 70005016 |
Business Practice Address: | 8236 S Madison St Burr Ridge, IL - 605275811 |
Business Phone Number: | 6303211717 |
Business Fax Number: | 6303211711 |
Mailing Address: | 4 Yellow Star Ct, WOODRIDGE |
State: | IL |
Postal Code: | 605171702 |
Phone Number: | 6309600783 |
Fax Number: | 6303211711 |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 70005016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |