Individual
CHARLES J TRITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9503 MO-100, NEW HAVEN, MO 63068
(573) 237-2103
Mailing address
806 SUNSET LN, NEW HAVEN, MO 63068-1052
(573) 291-0873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018026218
MO
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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