Individual
BADIEH WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N546 SCHROETER DR, RANDOM LAKE, WI 53075-1272
(920) 207-3550
(920) 994-4606
Mailing address
N546 SCHROETER DR, RANDOM LAKE, WI 53075-1272
(920) 207-3550
(920) 994-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3207-026
WI
Other
Enumeration date
12/08/2006
Last updated
01/03/2025
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