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Individual

MS. KATHY LYNN MODICA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
35 OAKSHORE DR, BRATENAHL, OH 44108-1118
(216) 408-2838

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
6282
OH

Other

Enumeration date
01/04/2024
Last updated
01/04/2024
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