Doctor Name: | JANE M PEDERSEN |
NPI Number: | 1154371516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4397 |
Business Practice Address: | 3700 Nw Cary Pkwy Ste 110 Cary, NC - 275138446 |
Business Phone Number: | 9193193649 |
Business Fax Number: | 9193193651 |
Mailing Address: | 8300 Health Park Ste 127, RALEIGH |
State: | NC |
Postal Code: | 276154731 |
Phone Number: | 9198456106 |
Fax Number: | 9198456188 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4397 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |