| NPI | 1609646926 |
|---|---|
| Former Name | PHALLON RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16416) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008625) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2026-02-12 |