Most Relevant Information
Provider Data
| NPI Number: | 1003804410 |
| Provider Name: | NORMAN DANIEL WATHEN ATC ;CSCS;NSCA-CPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT-174 |
Most Important Dates
| Enumeration Date: | 10/10/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5301 SAMPSON DR
GIRARD
OH
444203504
Practice Location Phone/Fax
| Phone: | 3307592314 |
| Fax: | 3309413191 |
Provider Mailing Location
5301 SAMPSON DR
GIRARD
OH
444203504
Provider Mailing Phone/Fax
| Phone: | 3307592314 |
| Fax: | 3309413191 |