Doctor Name: | DR. TIMOTHY JOHN PEMBROKE |
NPI Number: | 1518198126 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 031442-1 |
Business Practice Address: | 4336 W Walworth Rd Macedon, NY - 145029380 |
Business Phone Number: | 5854556610 |
Business Fax Number: | |
Mailing Address: | 4336 W Walworth Rd, MACEDON |
State: | NY |
Postal Code: | 145029380 |
Phone Number: | 5854556610 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2009 |
NPI Last Update Date: | 08/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 031442-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |