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Organization

MICHELLE PEDERSEN, P.T., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNE MICHELLE PEDERSEN P.T. (OWNER/PRESIDENT)
(520) 603-8640
Entity
Organization

Contact information

Practice address
5655 E GRANT RD, TUCSON, AZ 85712-2211
(520) 603-8640
Mailing address
5655 E GRANT RD, TUCSON, AZ 85712-2211
(520) 603-8640

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8793
AZ

Other

Enumeration date
02/19/2012
Last updated
02/19/2012
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