Individual
JASON W PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1836 GREENE TREE RD, PIKESVILLE, MD 21208-1381
(410) 486-9992
Mailing address
33730 VIA SAN ANGELO DR, AVON, OH 44011-3756
(440) 934-6135
(440) 934-6147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
087613
IA
225100000X
Physical Therapist
Primary
29714
MD
225100000X
Physical Therapist
PTL.0016232
CO
Other
Enumeration date
08/01/2017
Last updated
12/21/2024
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