Individual
RYAN MCFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 MULBERRY ST, SHALLOTTE, NC 28470-4471
(910) 754-8858
Mailing address
917 SIMMONS AVE, SUMMERVILLE, SC 29483-3667
(540) 204-2320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP035050A
NC
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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