Individual
DIANA LYNN KIVIRAHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2855 CAMPUS DR STE 300, PLYMOUTH, MN 55441-2682
(763) 520-7870
(763) 520-7580
Mailing address
2855 CAMPUS DR STE 300, PLYMOUTH, MN 55441-2682
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106010
MN
Other
Enumeration date
03/26/2008
Last updated
08/29/2019
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