Individual
MRS. KRISTEN LEIGH PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
920 W IRONWOOD DR, SUITE 207, COEUR D ALENE, ID 83814-2463
(208) 664-0575
(208) 664-0576
Mailing address
2878 E RED CEDAR CT, COEUR D ALENE, ID 83815-6201
(208) 930-4181
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-912
ID
Other
Enumeration date
06/27/2007
Last updated
01/26/2012
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