Individual
BRANDON POLKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 HARRISON AVE, CINCINNATI, OH 45248-2361
(513) 661-3114
Mailing address
3761 HERBERT AVE, CINCINNATI, OH 45211-5436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016964
OH
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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