Brooke Alic Kicos, PT

NPI #1104456813 in Mason, Ohio

Provider Information

NPI Number: 1104456813
Entity Type: Individual
Name: Brooke Alic Kicos, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 22, 2020
Last Updated: Jan 22, 2020

Practice Location

Address: 5640 COX SMITH RD
City: Mason
State: Ohio
ZIP Code: 45040-2210
Phone: (513) 398-2881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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