Nina Pedersen PT

NPI 1366591406 - Physical Therapist - 225100000X

NPI Details
NPI 1366591406
Gender Female
Enumeration Date 01/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
401 BICENTENNIAL WAY
SANTA ROSA CA, 95403-2149, US
Phone (707) 571-4633
Fax
Business Location
426 KING RD
PETALUMA CA, 94952-1090, US
Phone (707) 769-7370
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT 10096
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According to our database, Nina Pedersen PT NPI is 1366591406, taxonomy code is 225100000X and license number is PT 10096, license state is located at California. Nina Pedersen PT physically located at 401 Bicentennial Way, Santa Rosa CA, 95403-2149. NPI Number Nina Pedersen PT has the Individual type.

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1366591406 NPI number is provided on an as is basis without warranty of any kind. 1366591406 is maintained by the National Plan & Provider Enumeration System. The contents of Nina Pedersen PT are for informational purposes only.