Individual
REBECCA JO RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2180 44TH ST SE STE 103, KENTWOOD, MI 49508-5305
(616) 528-0870
Mailing address
7666 LOUISE AVE, JENISON, MI 49428-9705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003332
MI
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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