Provider Demographics
NPI:1659199909
Name:BLIVEN, KATHERINE (OTD, OTR)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:BLIVEN
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2298 BELLFIELD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3193
Mailing Address - Country:US
Mailing Address - Phone:614-935-9827
Mailing Address - Fax:
Practice Address - Street 1:32200 MEADOW LARK WAY
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-5522
Practice Address - Country:US
Practice Address - Phone:614-935-9827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant