Individual
BAILEY R WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-6316
Mailing address
524 KENYON ST NW APT 33, WASHINGTON, DC 20010-2937
(913) 952-1053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010001510
DC
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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