Brandon H Pavilack

NPI #1245953983 in Blue Ash, Ohio

Provider Information

NPI Number: 1245953983
Entity Type: Individual
Name: Brandon H Pavilack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 19, 2022
Last Updated: Sep 19, 2022

Practice Location

Address: 4600 MCAULEY PL STE 150
City: Blue Ash
State: Ohio
ZIP Code: 45242-4765
Phone: (513) 898-3375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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