Jennifer Pedersen

NPI #1720472913 in Viroqua, Wisconsin

Provider Information

NPI Number: 1720472913
Entity Type: Individual
Name: Jennifer Pedersen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 25, 2015
Last Updated: Mar 25, 2015

Practice Location

Address: 407 S MAIN ST
Address 2: SUITE 302
City: Viroqua
State: Wisconsin
ZIP Code: 54665-2100
Phone: (608) 637-4385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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