ELIZABETH WIDICUS

OCONOMOWOC, WI
NPI1154762912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  5327-26)
Enumeration Date2013-07-09
Last Update Date2013-07-09
Business Address
Miss ELIZABETH WIDICUS OT
2195 N SUMMIT VILLAGE WAY
OCONOMOWOC, WI 53066-8675
Phone number: 262-560-2426
Mailing Address
Miss ELIZABETH WIDICUS OT
2238 N 104TH ST
WAUWATOSA, WI 53226-2422
Phone number: 949-395-3946