Individual
MS. BRITTANY LAUREN WIDACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
8718 DALLAM CT, HOUSTON, TX 77064-8611
(281) 975-9855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122414
TX
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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