| NPI | 1568811628 |
|---|---|
| Former Name | RACHEL DAWN PEDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12290) |
| 225100000X Physical Therapist (Licence: NV 3973) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-07-09 |