Organization
CANI PT OT SLP & PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FREDERICK PEMBERTON PT (OWNER PHYSICAL THERAPIST)
(315) 782-6126
Entity
Organization
Contact information
Practice address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 782-6126
(315) 782-3816
Mailing address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 782-6126
(315) 782-3816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
09/16/2008
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