Individual
DIANE HRIVNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
215 E MAIN ST, SUITE B, NORTHVILLE, MI 48167-1681
(248) 349-9339
(248) 349-9342
Mailing address
215 E MAIN ST, SUITE B, NORTHVILLE, MI 48167-1681
(248) 349-9339
(248) 349-9342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5201003201
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H20094
BLUE CROSS BLUE SHIELD
MI
01
—
0N58620
HAP
MI
01
—
16869
M-CARE
MI
01
—
500573
PRIORITY HEALTH
MI
01
—
7543420
AETNA
MI
01
—
P00100555
MEDICARE RAILROAD
MI
Enumeration date
04/19/2007
Last updated
07/08/2007
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