Individual
MICHELLE LYNN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
301 MINNESOTA AVE S, AITKIN, MN 56431-1626
(218) 927-5526
Mailing address
301 MINNESOTA AVE S, AITKIN, MN 56431-1626
(218) 927-5526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5647
MN
Other
Enumeration date
08/24/2009
Last updated
03/24/2010
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