IndividualActive
Bernard Diedrich, OT
NPI 1386712305 · Occupational Therapist · Wayne, MI
Provider details
- NPI number
- 1386712305
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- License
- 52010001801
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
35425 W Michigan Ave
Wayne, MI 48184-1687
Phone: (877) 407-2500
Approximate (ZIP-level) locationGet directions
Mailing address
1650 Avondale Ave
Ann Arbor, MI 48103-5772
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.