Provider Demographics
NPI:1225370737
Name:WOHLSIFER, STEPHANIE TASSOS (MS MT-BC NICU-MT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:TASSOS
Last Name:WOHLSIFER
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Gender:F
Credentials:MS MT-BC NICU-MT
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Mailing Address - Street 1:1100 E PARK AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2651
Mailing Address - Country:US
Mailing Address - Phone:850-264-0033
Mailing Address - Fax:866-829-8174
Practice Address - Street 1:1100 E PARK AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2651
Practice Address - Country:US
Practice Address - Phone:850-264-0033
Practice Address - Fax:866-829-8174
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist