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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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