Individual
HALEY ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
11530 WINDRIDGE DR, PICKERINGTON, OH 43147-9143
(614) 800-2326
Mailing address
11530 WINDRIDGE DR, PICKERINGTON, OH 43147-9143
(614) 800-2326
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
STUDENT
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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