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Individual

BRENDA K. PEDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSOT, OTR/L, CHT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00558
IA
225XH1200X
Hand Occupational Therapist
9911000064
CA

Other

Enumeration date
08/05/2011
Last updated
08/05/2011
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