Wyche, Tanisha

Wyche, Tanisha is an sole proprietor health care provider with primary practice located at 141 San Luis St Sw , Palm Bay FL 32908-3514. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Wyche, Tanisha can be contacted via phone (321) 208-2674.

Contact Information

Primary practice address
141 San Luis St Sw Palm Bay FL 32908-3514
Phone: (321) 208-2674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA12705 Florida

Profile Details

NPI number 1659793156
LBN Legal business name Wyche, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2014
Last updated Jan 17th, 2014 - about 12 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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