Individual
CASSANDRA WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
13336 INDUSTRIAL RD STE 105, OMAHA, NE 68137
(402) 330-3211
(402) 330-5970
Mailing address
50 W 3RD ST, SHERIDAN, WY 82801-3606
(307) 672-2092
(307) 673-1969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2204
NE
225X00000X
Occupational Therapist
OT-1117
ID
225X00000X
Occupational Therapist
Primary
OTR-1138
WY
Other
Enumeration date
02/12/2014
Last updated
08/04/2020
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