Individual
JOHN G HENLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13385 ROACHTON RD, PERRYSBURG, OH 43551-1363
(419) 872-8689
Mailing address
10983 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-9449
(419) 874-3181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
910
OH
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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