Individual
VICTOR TRINCHERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
Mailing address
118 MILLSTONE CIR, CLINTON, TN 37716-7222
(865) 776-2215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5825
TN
225200000X
Physical Therapy Assistant
5828
TN
225200000X
Physical Therapy Assistant
Primary
CP001159A
MS
Other
Enumeration date
05/29/2017
Last updated
02/05/2020
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