Individual provider · Type 1 NPI

Haley Wideman, MOT

Occupational Therapist · Richmond, VA

NPI number 1881354702 Active

Practice location

5421 Patterson Ave
Richmond, VA 23226-2003

Call (804) 288-0642 Map

Fax (804) 285-0292

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119008808 (VA)

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 1881354702

Haley Wideman, MOT's National Provider Identifier is 1881354702, issued on Dec 20, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Richmond, VA. The record was last updated on Feb 17, 2026.