Crystal Tyson, OT

NPI #1629447529 in Mount Vernon, Illinois

Provider Information

NPI Number
1629447529
Entity Type
Individual
Name
Crystal Tyson, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Sep 21, 2015
Last Updated
Sep 21, 2015

Practice Location

Address
4121 VETERANS MEMORIAL DR
ZIP Code
62864-6262
Phone
(618) 242-3778

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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