Individual
MRS. KAREN DIANNE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6 JERSEY AVE, MAHWAH, NJ 07430-1112
(201) 529-8037
Mailing address
6 JERSEY AVE, MAHWAH, NJ 07430-1112
(201) 529-8037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11397
MA
225X00000X
Occupational Therapist
16589
FL
225X00000X
Occupational Therapist
Primary
46TR00195700
NJ
225X00000X
Occupational Therapist
OC016885
PA
225XP0200X
Pediatric Occupational Therapist
020302-1
NY
Other
Enumeration date
05/28/2007
Last updated
05/01/2020
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