Pedersen Outpatient Physical Therapy
NPI #1104040856 in Enumclaw, Washington
Provider Information
- NPI Number
- 1104040856
- Entity Type
- Organization
- Organization Name
- Pedersen Outpatient Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Mar 7, 2008
Practice Location
- Address
- 1110 STEVENSON AVE
- Address 2
- SUITE 100
- City
- Enumclaw
- State
- Washington
- ZIP Code
- 98022-2647
- Phone
- (360) 825-7411
Authorized Official
- Name
- GEORGE PEDERSEN, M.P.T.
- Title
- THERAPIST
- Phone
- (360) 825-7411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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