Gross, Tanya Rae

Gross, Tanya Rae is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gross, Tanya Rae can be contacted via phone (605) 755-1000.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701
Phone: (605) 755-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0484 South Dakota

Profile Details

NPI number 1295920080
LBN Legal business name Gross, Tanya Rae
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated May 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295920080 NPPES
South Dakota Other 0484 SD STATE LICENSURE

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