Individual
CALLIE BLAKE PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
7265 MARTIN RD, MILTON, FL 32570-5509
(318) 332-5211
Mailing address
7265 MARTIN RD, MILTON, FL 32570-5509
(318) 332-5211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18016
FL
Other
Enumeration date
07/31/2017
Last updated
02/03/2021
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