Individual
SONIA CHRISTINE WIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPSY, MSOT, OTR/L
Contact information
Practice address
4093 VON NEUMAN CIR, WARRENTON, VA 20187-3964
(703) 622-9757
Mailing address
4093 VON NEUMAN CIR, WARRENTON, VA 20187-3964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006392
VA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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