Pendergrass, Timothy

Pendergrass, Timothy is an individual health care provider with primary practice located at Bldg 0-1900 Lamont Road, Ft Bragg NC 23807. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pendergrass, Timothy can be contacted via phone (910) 643-1471.

Contact Information

Primary practice address
Bldg 0-1900 Lamont Road Ft Bragg NC 23807
Phone: (910) 643-1471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1099471 Texas

Profile Details

NPI number 1215927454
LBN Legal business name Pendergrass, Timothy
Credentials PT, DSC, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jan 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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