KATHLEEN ELIZABETH MODDEMAN

DAYTON, OH
NPI1629286422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  8380)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
Mrs. KATHLEEN ELIZABETH MODDEMAN
1 WYOMING ST
DAYTON, OH 45409-2722
Phone number: 937-208-3078
Mailing Address
Mrs. KATHLEEN ELIZABETH MODDEMAN
2206 PRINCESS DR
BEAVERCREEK, OH 45434-8008
Phone number:
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