Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyreesah Lashae Wilkerson-Cobb

Individual provider Prosthetic/Orthotic Supplier · NPI 1750098760

Tyreesah Lashae Wilkerson-Cobb is a Prosthetic/Orthotic Supplier in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022

Practice location Address checks out

5613 Master St
Philadelphia, PA 19131-3833
Phone: (215) 820-8073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 807950 (PA)

Record details

NPI number1750098760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 30, 2022

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