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TYREESAH LASHAE WILKERSON-COBB
NPI 1750098760
Prosthetic/Orthotic Supplier in Philadelphia, PA

Active since October 31, 2022
5613 MASTER ST, PHILADELPHIA, PA 19131(215) 820-8073 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyreesah Lashae Wilkerson-cobb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYREESAH LASHAE WILKERSON-COBB (NPI 1750098760) is an individual prosthetic/orthotic supplier provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (807950) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1750098760
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameTYREESAH LASHAE WILKERSON-COBB
Location Address5613 MASTER STPhiladelphia, PA 19131-3833
Mailing Address5613 Master StPhiladelphia, PA 19131-3833 · (215) 820-8073
Phone(215) 820-8073
Sole ProprietorYes
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 30, 2022
✔ NPI 1750098760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in PA · 807950
Definition
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.
5613 MASTER ST, Philadelphia, PA 19131
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyreesah Wilkerson-cobb's NPI number?

The NPI number for Tyreesah Wilkerson-cobb is 1750098760. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Tyreesah Wilkerson-cobb located?

Tyreesah Wilkerson-cobb practices at 5613 Master St, Philadelphia, PA 19131. The listed phone number is (215) 820-8073.

What is Tyreesah Wilkerson-cobb's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Tyreesah Wilkerson-cobb was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.