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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYREESAH LASHAE WILKERSON-COBB

Active Sole Proprietor

TYREESAH LASHAE WILKERSON-COBB is a Prosthetic/Orthotic Supplier healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1750098760 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · PHILADELPHIA, PA

Registration Details

NPI Number
1750098760
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2022 (3.8092638136607 yrs)
Last Updated
Oct 31, 2022
License
807950 (PA)
Sole Proprietor
Yes

Practice Information

Address
5613 MASTER ST
PHILADELPHIA, PA, 191313833
Browse PA providers · Browse ZIP 19131
Phone
2158208073
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in PHILADELPHIA, PA

Name Credential NPI
SETH AUERBACH MBA 1508309550
PAMELA HOWARD 1891337051
MRS. JENNELL MCCALL 1386401065
LISA PRESCOTT 1073353330
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.