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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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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