TIMOTHY WAYNE PEMBERTON

SAINT LOUIS, MO
NPI1215411939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2018009363)
Enumeration Date2018-09-18
Last Update Date2025-04-17
Business Address
Mr. TIMOTHY WAYNE PEMBERTON OT
4921 PARKVIEW PL DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110-1032
Phone number: 314-286-1669
Mailing Address
Mr. TIMOTHY WAYNE PEMBERTON OT
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-286-1669
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