TYSON SIMMONS

CHARLOTTE, NC
NPI1043635691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  5093)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: SC  2683)
Enumeration Date2014-02-19
Last Update Date2014-02-19
Business Address
-- TYSON SIMMONS
2225 HAWKINS ST UNIT 235
CHARLOTTE, NC 28203-5586
Phone number: 843-260-5822
Mailing Address
-- TYSON SIMMONS
2225 HAWKINS ST UNIT 235
CHARLOTTE, NC 28203-5586
Phone number: