| Doctor Name: | STEVEN L PEDERSON |
| NPI Number: | 1780830208 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 1515 |
| Business Practice Address: | 404 Fourth Street N Devils Lake, ND - 58301 |
| Business Phone Number: | 7016623544 |
| Business Fax Number: | 7016629493 |
| Mailing Address: | Po Box 12938, GRAND FORKS |
| State: | ND |
| Postal Code: | 582082938 |
| Phone Number: | 7017468374 |
| Fax Number: | 7017800885 |
| NPI Enumeration Date: | 08/15/2008 |
| NPI Last Update Date: | 08/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| 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 |