Individual provider · Type 1 NPI

Badieh Widmer, OTR

Occupational Therapist · Random Lake, WI

NPI number 1114086881 Active

Practice location

N546 Schroeter Dr
Random Lake, WI 53075-1272

Call (920) 207-3550 Map

Fax (920) 994-4606

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3207-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1114086881

Badieh Widmer, OTR's National Provider Identifier is 1114086881, issued on Dec 8, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Random Lake, WI. The record was last updated on Jan 3, 2025.