Individual
MEGAN KATHERINE WIDIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 EAGLE SMT, STEVENS POINT, WI 54482-8977
(715) 544-6506
Mailing address
509 W POPLAR AVE, CAMERON, WI 54822-7502
(715) 790-3985
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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