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Contact Information

LAWRENCE J PEMBERTON, PT, DPT
33 BLEEKER ST STE 102
MILLBURN, NJ07041-1460
 Phone: 973-258-1900
 Fax: 732-855-9755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAWRENCE J PEMBERTON · (Male)

NPI # 1194094276
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 12/20/2011
Last updated 03/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QA01481500
  • TN License # 8990
  • TX License # 1210060
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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