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Individual

SHAWNA PEDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
715 LIBERTY ST, CLAY CENTER, KS 67432-1528
(615) 896-6400
Mailing address
1473 FRONTIER RD, CLAY CENTER, KS 67432-7857
(615) 896-6400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701771
KS

Other

Enumeration date
08/22/2008
Last updated
08/22/2008
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