Healthcare Provider Details

I. General information

NPI: 1457268682
Provider Name (Legal Business Name): CHLOE SUE VEILLEUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E MAIN ST
HART MI
49420-1144
US

IV. Provider business mailing address

6056 W 16TH ST
FREMONT MI
49412-9640
US

V. Phone/Fax

Practice location:
  • Phone: 231-873-3577
  • Fax:
Mailing address:
  • Phone: 970-390-5278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201014783
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: