Individual
BRANDON MODAFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6909 GOOD SAMARITAN DR, STE. A, CINCINNATI, OH 45247-5208
(513) 245-2500
(513) 245-5424
Mailing address
PO BOX 633448, CINCINNATI, OH 45263-3448
(513) 569-6117
(513) 853-4740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016566
OH
Other
Enumeration date
08/31/2016
Last updated
09/01/2016
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