IndividualActive
Alicia Widner
NPI 1558837336 · Occupational Therapist · Russellville, AR
Provider details
- NPI number
- 1558837336
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT2018-032 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1301 Russell Rd
Russellville, AR 72802-4320
Phone: (479) 967-2316
Fax: (479) 967-3639
Approximate (ZIP-level) locationGet directions
Mailing address
Po Drawer 2109
Russellville, AR 72811
Registry dates
- Enumerated
- 2018-10-18
- Last updated
- 2023-01-12
- Certified
- 2023-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.