Individual
JESSICA LYNN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106328
MN
225X00000X
Occupational Therapist
20531
CA
Other
Enumeration date
08/18/2020
Last updated
09/30/2020
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