Individual
TYSON SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 W 3RD AVE, GASTONIA, NC 28052-4058
(704) 866-6160
Mailing address
2225 HAWKINS ST, UNIT 235, CHARLOTTE, NC 28203-5586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2683
SC
225X00000X
Occupational Therapist
Primary
5093
NC
Other
Enumeration date
02/19/2014
Last updated
04/22/2026
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