Healthcare Provider Details

I. General information

NPI: 1184368961
Provider Name (Legal Business Name): NATALIE JOSLYN OAKWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9615 MAIN ST
WHITMORE LAKE MI
48189-9599
US

IV. Provider business mailing address

7110 MICHIGAN RD
BAY CITY MI
48706-9310
US

V. Phone/Fax

Practice location:
  • Phone: 810-429-5115
  • Fax:
Mailing address:
  • Phone: 810-429-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5201014542
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: