Individual
MR. RYAN PATRICK FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4282 W VIENNA RD, CLIO, MI 48420-9454
(810) 564-2400
(810) 564-9994
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-0688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009713
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497296313
—
MI
Enumeration date
03/10/2017
Last updated
10/30/2023
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