Individual
MADISON CARTER PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
122 S WOODBURN DR, DOTHAN, AL 36305-1020
(334) 446-1425
Mailing address
2413 HIGHWAY 77, CHIPLEY, FL 32428-5769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10384
AL
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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