Brian Pedersen PT

NPI 1285922146 - Physical Therapist - 225100000X

NPI Details
NPI 1285922146
Gender Male
Enumeration Date 07/13/2011
Last Updated 07/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4607 GOLF RD
SKOKIE IL, 60076-1209, US
Phone (847) 673-5073
Fax (847) 673-2475
Business Location
4607 GOLF RD
SKOKIE IL, 60076-1209, US
Phone (847) 673-5073
Fax (847) 673-2475
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070-018515
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According to our database, Brian Pedersen PT NPI is 1285922146, taxonomy code is 225100000X and license number is 070-018515, license state is located at Illinois. Brian Pedersen PT physically located at 4607 Golf Rd, Skokie IL, 60076-1209. NPI Number Brian Pedersen PT has the Individual type.

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1285922146 NPI number is provided on an as is basis without warranty of any kind. 1285922146 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Pedersen PT are for informational purposes only.