Individual provider · Type 1 NPI

Tyreesah Lashae Wilkerson-Cobb

Prosthetic/Orthotic Supplier · Philadelphia, PA

NPI number 1750098760 Active

Practice location

5613 Master St
Philadelphia, PA 19131-3833

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	807950 (PA)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1750098760

Tyreesah Lashae Wilkerson-Cobb's National Provider Identifier is 1750098760, issued on Oct 31, 2022. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 31, 2022.