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Individual
TIMOTHY PENDERGRASS
Active
Individual
TIMOTHY PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSC, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1099471
TX
Other
Enumeration date
10/27/2005
Last updated
01/24/2020
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