# SUMMER J TYSOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477134740
- **Gender:** F
- **Credential:** MOTL

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 09201 | MD | Yes |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 04/19/2021