NICOLE HENLINE

FORT WAYNE, IN
NPI1811176563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002875A)
Enumeration Date2007-10-30
Last Update Date2007-10-30
Business Address
-- NICOLE HENLINE PTA
10443 ILLINOIS RD
FORT WAYNE, IN 46814-9181
Phone number: 260-625-5005
Mailing Address
-- NICOLE HENLINE PTA
10443 ILLINOIS RD
FORT WAYNE, IN 46814-9181
Phone number: 260-625-5005
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