Individual
MR. DWIGHT EDWARD WIDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 BIG SPRING RD, NEWVILLE, PA 17241-9497
(717) 776-8255
Mailing address
201 STROHM RD, SHIPPENSBURG, PA 17257-9653
(717) 532-3655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A00446
MD
224Z00000X
Occupational Therapy Assistant
Primary
OP006377
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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