Healthcare Provider Details

I. General information

NPI: 1891602496
Provider Name (Legal Business Name): AMY ELIZABETH HATTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PHILLIPS AVE
CLAWSON MI
48017-1517
US

IV. Provider business mailing address

2321 OAK RIVER CT
TROY MI
48098-5413
US

V. Phone/Fax

Practice location:
  • Phone: 248-655-4200
  • Fax:
Mailing address:
  • Phone: 248-760-5724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201005579
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: