Individual
NICHOLAS HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 FOX HILL DR APT 118, MONROEVILLE, PA 15146-1646
(717) 572-5034
Mailing address
1135 FOX HILL DR APT 118, MONROEVILLE, PA 15146-1646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005085
PA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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