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Carly Pederson, ATC/R
NPI 1417394297 · on the registry since 2013
Practice
- Address
- 18929 149th St Nw
Elk River, MN 55330 - Phone
- (612) 518-7270
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota