Individual
ALLISON RAE WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1689 NE 80TH AVE, HUDSON, KS 67545-9020
(913) 908-7137
Mailing address
1689 NE 80TH AVE, HUDSON, KS 67545-9020
(913) 908-7137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03392
KS
Other
Enumeration date
11/04/2009
Last updated
11/15/2011
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