Organization
CANI PT OT SLP & PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F. PEMBERTON PT (CEO)
(315) 782-3941
Entity
Organization
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
Mailing address
PO BOX 519, WATERTOWN, NY 13601
(315) 782-3941
(315) 785-9808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
06/14/2023
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