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Organization
PEMBERTON & ASSOCIATES
Active
Organization
PEMBERTON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A PEMBERTON PT/OTR (CEO)
(770) 725-9271
Entity
Organization
Contact information
Practice address
2253 ALLEGHENY LN, WATKINSVILLE, GA 30677-8347
(770) 725-9271
(770) 725-2985
Mailing address
2253 ALLEGHENY LN, WATKINSVILLE, GA 30677-8347
(770) 725-9271
(770) 725-2985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002327
GA
225X00000X
Occupational Therapist
OT000620
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093938722
NPI
GA
Enumeration date
12/18/2013
Last updated
12/18/2013
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