Individual
MS. TISHA RHEA DEGROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2501 W 26TH ST, SIOUX FALLS, SD 57105-2446
(605) 782-2300
Mailing address
2016 S ELMWOOD AVE, SIOUX FALLS, SD 57105-2322
(605) 331-2005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0354
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5832360
—
SD
Enumeration date
03/26/2007
Last updated
07/08/2007
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