Healthcare Provider Details

I. General information

NPI: 1437954823
Provider Name (Legal Business Name): CHLOE EADS MSOT, OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 TUURI PL
FLINT MI
48503-2465
US

IV. Provider business mailing address

219 N MAIN ST
DAVISON MI
48423-1431
US

V. Phone/Fax

Practice location:
  • Phone: 810-767-5750
  • Fax:
Mailing address:
  • Phone: 810-412-4573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5201014149
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: