Individual
JONATHON WALKER HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
405 STATE ROUTE 58, SULLIVAN, OH 44880-9761
(419) 606-4802
Mailing address
405 STATE ROUTE 58, SULLIVAN, OH 44880-9761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003571
OH
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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