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
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295920080 | NPPES |
| South Dakota | Other | 0484 | SD STATE LICENSURE |
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