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Individual

DUANE ALLEN PEDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(970) 667-7755
(970) 663-6998
Mailing address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(970) 667-7755
(970) 663-6998

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4401
CO

Other

Enumeration date
03/28/2013
Last updated
10/08/2020
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