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Contact Information

BRENDA K PEDERSEN, BSOT, OTR/L, CHT
1212 PLEASANT ST
SUITE 300
DES MOINES, IA50309-1414
 Phone: 515-471-9292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRENDA K PEDERSEN · (Female)

NPI # 1104105303
Status Active
Credentials BSOT, OTR/L, CHT
Entity Individual
Enumeration date 08/05/2011
Last updated 08/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 9911000064
  • IA License # 00558
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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