Individual
SUMMER J TYSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTL
Contact information
Practice address
1016 BOOTH ST, BALTIMORE, MD 21223-2527
(410) 207-3514
Mailing address
1016 BOOTH ST, BALTIMORE, MD 21223-2527
(410) 207-3514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09201
MD
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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