Healthcare Provider Details

I. General information

NPI: 1437832474
Provider Name (Legal Business Name): DEANNA MARIE HOSKIN MSOT, OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEANNA FLAIM MSOT, OTRL

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13019 PAULINE DR
SHELBY TOWNSHIP MI
48315-3122
US

IV. Provider business mailing address

22900 MCPHALL RD
ARMADA MI
48005-1438
US

V. Phone/Fax

Practice location:
  • Phone: 586-207-9255
  • Fax: 248-403-8500
Mailing address:
  • Phone: 586-291-4753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201010920
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: