Individual
DIANE VALERIA KRASICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14560 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1350
(586) 532-9334
(586) 532-9334
Mailing address
14560 LAKESIDE CIR, STERLING HEIGHTS, MI 48313-1350
(586) 566-6416
(586) 532-8431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000836
MI
Other
Enumeration date
01/22/2009
Last updated
05/19/2014
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