| NPI Details | |
|---|---|
| NPI | 1003804410 |
| Gender | Male |
| Enumeration Date | 10/10/2005 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 5301 SAMPSON DR GIRARD OH, 44420-3504, US |
|
| Phone | (330) 759-2314 |
| Fax | (330) 941-3191 |
| Business Location | |
|---|---|
| 5301 SAMPSON DR GIRARD OH, 44420-3504, US |
|
| Phone | (330) 759-2314 |
| Fax | (330) 941-3191 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2255A2300X |
| License State | Ohio |
| License Number | AT-174 |
| Remove 1003804410 NPI Number | |
According to our database, Mr. Norman Daniel Wathen ATC ;CSCS;NSCA-CPT NPI is 1003804410, taxonomy code is 2255A2300X and license number is AT-174, license state is located at Ohio. Norman Daniel Wathen ATC ;CSCS;NSCA-CPT physically located at 5301 Sampson Dr, Girard OH, 44420-3504. NPI Number Norman Daniel Wathen ATC ;CSCS;NSCA-CPT has the Individual type.
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1003804410 NPI number is provided on an as is basis without warranty of any kind. 1003804410 is maintained by the National Plan & Provider Enumeration System. The contents of Norman Daniel Wathen ATC ;CSCS;NSCA-CPT are for informational purposes only.
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