Individual
MR. JON DAVID PEDERSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2098 HILLSIDE ROAD, STORRS, CT 06286
(203) 980-1516
Mailing address
8 ERICO DR, EAST HAVEN, CT 06512-1091
(230) 980-1516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001900
CT
Other
Enumeration date
01/18/2023
Last updated
07/17/2025
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