Individual
JENNIFER PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S MAIN ST, SUITE 302, VIROQUA, WI 54665-2100
(608) 637-4385
Mailing address
S5412 EAGLE DR, VIROQUA, WI 54665-6614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4362-26
WI
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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