ALICIA LADAWN WIDNER

RUSSELLVILLE, AR
NPI1558837336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AR  OT2018-032)
Enumeration Date2018-10-18
Last Update Date2023-01-12
Business Address
ALICIA LADAWN WIDNER
1301 RUSSELL RD
RUSSELLVILLE, AR 72802-4320
Phone number: 479-967-2316
Mailing Address
ALICIA LADAWN WIDNER
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322