Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Oldenburg, MS, OT

Individual provider Occupational Therapist · NPI 1003571431

Jaclyn Oldenburg, MS, OT is an Occupational Therapist in Grand Haven, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

16760 Lincoln St
Grand Haven, MI 49417-8864
Phone: (616) 935-3300
Fax: (616) 935-3333
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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 5201011646 (MI)

Record details

NPI number1003571431
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OT
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

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