Individual
JAIME ANN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5349 ADAMS AVE PKWY, SUITE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Mailing address
5349 ADAMS AVE PKWY, SUITE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
83340892401
UT
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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