Individual provider · Type 1 NPI

Kelly Marie Widule, OTR/L

Occupational Therapist · Hudson, WI

NPI number 1720589161 Active

Practice location

2705 Enloe St
Hudson, WI 54016-8173

Mailing address

N8051 925th St
River Falls, WI 54022-4437

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200XNone listed
Occupational Therapist Primary 225X00000X6214-26 (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 1720589161

Kelly Marie Widule, OTR/L's National Provider Identifier is 1720589161, issued on Feb 21, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hudson, WI. The record was last updated on Oct 2, 2023.