Nicole L. Pederson, DPT

NPI #1659498475 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1659498475
Entity Type: Individual
Name: Nicole L. Pederson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 25, 2007
Last Updated: Feb 6, 2024

Practice Location

Address: 2600 S WISCONSIN AVENUE
Address 2: SUITE A
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-7527
Phone: (715) 236-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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