Individual
NICHOLE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W BANCROFT ST, MS #302, TOLEDO, OH 43606-3328
(419) 530-4303
Mailing address
2801 W BANCROFT ST, MS #302, TOLEDO, OH 43606-3328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004739
OH
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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