Individual provider · Type 1 NPI

Elizabeth Widicus, OT

Occupational Therapist · Oconomowoc, WI

NPI number 1154762912 Active

Practice location

2195 N Summit Village Way
Oconomowoc, WI 53066-8675

Call (262) 560-2426 Map

Mailing address

2238 N 104th St
Wauwatosa, WI 53226-2422

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5327-26 (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 1154762912

Elizabeth Widicus, OT's National Provider Identifier is 1154762912, issued on Jul 9, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Oconomowoc, WI. The record was last updated on Jul 9, 2013.