# OCCUPATIONAL THERAPY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JUMP-IN Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467459826
- **Authorized official:** MS. JACQUELIN KAY KILBURN II MA, OTR (PRESIDENT)
- **Authorized official phone:** (810) 231-9042

## Contact information

- **Practice address:** 10400 HAMBURG RD, HAMBURG, MI 48139-1204
- **Practice address phone:** (810) 231-9042
- **Practice address fax:** (810) 231-9063
- **Mailing address:** PO BOX 205, 10400 HAMBURG RD, HAMBURG, MI 48139-0205
- **Mailing address phone:** (810) 231-9042
- **Mailing address fax:** (810) 231-9063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | L432774 | MI | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 09/19/2023
