Individual
RONALD PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3420 WAKE FOREST HWY, DURHAM, NC 27703-3522
(919) 957-8480
Mailing address
3704 CREEK POINTE WAY, GREENSBORO, NC 27407-5475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5868
NC
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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