Healthcare Provider Details

I. General information

NPI: 1376408757
Provider Name (Legal Business Name): EMILY ASHLEY SCHROEDER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 BROADACRE AVE
CLAWSON MI
48017-1503
US

IV. Provider business mailing address

11242 E COLDWATER RD
DAVISON MI
48423-8509
US

V. Phone/Fax

Practice location:
  • Phone: 248-221-1145
  • Fax: 248-565-4444
Mailing address:
  • Phone: 810-845-4529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201014467
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: