Organization
PEDERSEN OUTPATIENT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PEDERSEN M.P.T. (THERAPIST)
(360) 825-7411
Entity
Organization
Contact information
Practice address
1110 STEVENSON AVE, SUITE 100, ENUMCLAW, WA 98022-2647
(360) 825-7411
(360) 825-7434
Mailing address
1110 STEVENSON AVE, SUITE 100, ENUMCLAW, WA 98022-2647
(360) 825-7411
(360) 825-7434
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
WA
Other
Enumeration date
04/12/2007
Last updated
03/07/2008
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