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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TIMOTHY S PEDERSEN, MS, PT

Active Sole Proprietor

MR. TIMOTHY S PEDERSEN, MS, PT is a Physical Therapy Assistant healthcare provider located in FAIRHAVEN, Massachusetts. NPI 1114004231 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRHAVEN, MA

Registration Details

NPI Number
1114004231
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.763464131014 yrs)
Last Updated
Sep 8, 2011
Licenses
8305 (MA)
PT01872 (RI)
Sole Proprietor
Yes

Practice Information

Address
17 SARAHS WAY
FAIRHAVEN, MA, 027193161
Browse MA providers · Browse ZIP 02719
Phone
5089912918
Fax
5089943068
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FAIRHAVEN, MA

Name Credential NPI
DEIDRE B HART MSPT 1295741353
NICOLE ELLIS NIEMIEC P.T. 1205915238
MRS. CATHLEEN LACY PT 1194842716
MRS. JENNIFER ROBIN GILBERT PT 1740409010
ANICK BERNIER PT 1124388640
MRS. LILIBETH ALMEROL DAYAO PT 1083076533
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.