Individual
SARA WIDDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10098 BEAR CREEK RD, LUCASVILLE, OH 45648-9168
(740) 259-5536
Mailing address
388 MONROE CEMETERY RD, WHEELERSBURG, OH 45694-8312
(740) 456-7866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05832
OH
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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