Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacquelyn Anderson Bolden, PHD, OT

Individual provider Occupational Therapist · NPI 1568733871

Dr. Jacquelyn Anderson Bolden, PHD, OT is an Occupational Therapist in Plymouth, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

618 Kellogg St
Plymouth, MI 48170-1707
Phone: (734) 207-5372
Fax: (734) 207-5372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 52201007062 (MI)

Record details

NPI number1568733871
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , OT
Sole proprietorYes
NPI enumeratedJanuary 18, 2012
Last updated in NPPESJanuary 18, 2012

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