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Individual
LAWRENCE J PEMBERTON
Active
Individual
LAWRENCE J PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1210060
TX
225100000X
Physical Therapist
Primary
40QA01481500
NJ
225100000X
Physical Therapist
8990
TN
Other
Enumeration date
12/20/2011
Last updated
03/03/2020
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