Individual
MRS. TIERRA S MOMPLAISIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
206 RIDGEWOOD AVE PEDIATRIC THERAPY SERVICES, BRANDON, FL 33510-4617
(813) 662-1060
(813) 662-0530
Mailing address
206 RIDGEWOOD AVE, BRANDON, FL 33510-4617
(863) 802-3800
(863) 802-0480
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT15602
FL
225XP0200X
Pediatric Occupational Therapist
OTT15602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008332400
—
FL
01
—
OTT15602
FLORIDA OT LICENSE
FL
Enumeration date
02/06/2013
Last updated
05/31/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us