Individual
MR. GARY W FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-2222
Mailing address
103 E PARK ST, BROOKFIELD, MO 64628-1716
(660) 258-7790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00665
MO
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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