Individual
ANTHONY PEDERSEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
595 WHITE MOUNTAIN HIGHWAY, MILTON, NH 03851
(801) 367-8863
Mailing address
PO BOX 393, MILTON, NH 03851-0393
(801) 367-8863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2707
NH
225X00000X
Occupational Therapist
9873545-4201
UT
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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