Individual
MR. CLYDE JAMES PICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2022 PHOENIX DR, WASHINGTON, MO 63090
(636) 239-9979
(636) 239-5442
Mailing address
549 EAST 6TH ST, WASHINGTON, MO 63090
(636) 390-9067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1999140691
MO
Other
Enumeration date
08/30/2006
Last updated
07/14/2015
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