Individual
FRANK J PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
1209 COURTLAND RD, WEIRTON, WV 26062-5103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1901
WV
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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