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Individual
MICHAEL PEDERSEN
Active
Individual
MICHAEL PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213718
VA
225100000X
Physical Therapist
Primary
2305217224
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305217224
VIRGINIA LICENSE
VA
Enumeration date
06/17/2025
Last updated
06/15/2026
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