Individual
LORI PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1320 WISCONSIN ST, HUDSON, WI 54016-1861
(715) 386-4528
Mailing address
1320 WISCONSIN ST, HUDSON, WI 54016-1861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4837-024
WI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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