JON DAVID PEDERSEN

STORRS, CT
NPI1568177129
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  001900)
Enumeration Date2023-01-18
Last Update Date2025-07-17
Business Address
Mr. JON DAVID PEDERSEN
2098 HILLSIDE ROAD
STORRS, CT 06286
Phone number: 203-980-1516
Mailing Address
Mr. JON DAVID PEDERSEN
8 ERICO DR
EAST HAVEN, CT 06512-1091
Phone number: 230-980-1516