Jaclyn Oldenburg
Occupational Therapist
16760 Lincoln St
Grand Haven
, Michigan 49417-8864
Jaclyn Oldenburg
Occupational Therapist
16760 Lincoln St
Grand Haven
, Michigan 49417-8864
(631) 760-8306
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Jaclyn Oldenburg
- 1311 Mamaroneck Ave Ste 140
- White Plains, NY
- Zip : 10605-5224
- Fax : (631) 760-8306
- Phone : (914) 294-4050
Second Address
- Jaclyn Oldenburg
- 16760 Lincoln St
- Grand Haven, MI
- Zip : 49417-8864
- Fax : (616) 935-3333
- Phone : (616) 935-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5201011646 | MI |
National Provider Identifier
| NPI | 1003571431 |
|---|---|
| Provider Name | Jaclyn Oldenburg |
| First Address | White Plains, NY 10605-5224 |
| Second Address | Grand Haven, MI 49417-8864 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.