Individual
SARAH WAGUESPACK PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
653 MYRTLE DR, COVINGTON, LA 70433-8225
(985) 893-4700
Mailing address
205 HOMESTEAD DR, THIBODAUX, LA 70301-8039
(985) 665-2559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09467
LA
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/19/2017
Last updated
10/05/2022
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