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