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1790201853
TREVIN FRITSCHKA
WALLA WALLA, WA
NPI
1790201853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: WA PT60744971)
Enumeration Date
2017-08-20
Last Update Date
2017-08-20
Business Address
Mr. TREVIN FRITSCHKA DPT
209 W POPLAR ST
WALLA WALLA, WA 99362-2828
Phone number: 509-522-5710
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Mailing Address
Mr. TREVIN FRITSCHKA DPT
7207 LOST LAKE RD
EGG HARBOR, WI 54209-9238
Phone number: 920-737-8304
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