NPI 1154762912

Elizabeth Widicus, OT

Practitioner Occupational Therapist Oconomowoc, WI

Practice location

Address: 2195 N Summit Village Way, Oconomowoc, WI 53066-8675
Phone: (262) 560-2426
Mailing address: 2238 N 104th St, Wauwatosa, WI 53226-2422

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 5327-26 (WI)

Other Occupational Therapist providers in Wisconsin →

Registry record

NPI: 1154762912
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2013
Record last updated: 9 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.