John Widenmann, CTRS Valid NPI

Individual provider · Recreation Therapist · Martinez, CA

NPI

1477176782

Type

Individual (Type 1)

Primary specialty

Recreation Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225800000X

License number

62583

Sex

Male

Sole proprietor

No

Enumerated

2020-05-20

Last updated

2020-05-20