Individual provider · Type 1 NPI

Jaclyn Oldenburg, MS, OT

Occupational Therapist · Grand Haven, MI

NPI number 1003571431 Active

Practice location

16760 Lincoln St
Grand Haven, MI 49417-8864

Call (616) 935-3300 Map

Fax (616) 935-3333

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201011646 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003571431

Jaclyn Oldenburg, MS, OT's National Provider Identifier is 1003571431, issued on Nov 1, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Haven, MI. The record was last updated on Jul 10, 2023.