Laura Elizabeth Tietjen, MPTOCS
Laura Elizabeth Tietjen, MPTOCS is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 1996, 30 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 30
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
20325 N 51st Ave Ste 146Glendale, AZ 85308-5674
Phone: (623) 249-3216
Fax: (623) 249-3218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 6773 (AZ) |
|---|
Record details
| NPI number | 1023061074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MPTOCS |
| Sole proprietor | No |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | October 18, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Multicare Health System — 2302 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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