Pederson, Nicole L.
Pederson, Nicole L. is an individual health care provider with primary practice located at 2600 S Wisconsin Avenue Suite A, Rice Lake WI 54868-7527. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Pederson, Nicole L. can be contacted via phone (715) 236-3610.Contact Information
Primary practice address
2600 S Wisconsin Avenue Suite A
Rice Lake WI 54868-7527
Phone: (715) 236-3610
Fax: (715) 236-3615
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 6343254-4810 | Utah |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12439 | Wisconsin |
Profile Details
NPI number | 1659498475 |
---|---|
LBN Legal business name | Pederson, Nicole L. |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2007 |
Last updated | Feb 6th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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