Organization
OCCUPATIONAL THERAPY SERVICES, INC.
Active
Other names
JUMP-IN Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELIN KAY KILBURN II MA, OTR (PRESIDENT)
(810) 231-9042
Entity
Organization
Contact information
Practice address
10400 HAMBURG RD, HAMBURG, MI 48139-1204
(810) 231-9042
(810) 231-9063
Mailing address
PO BOX 205, 10400 HAMBURG RD, HAMBURG, MI 48139-0205
(810) 231-9042
(810) 231-9063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L432774
MI
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4682580
—
MI
01
—
67-0-D7-1058-0
BCBS PROVIDER
MI
Enumeration date
06/30/2005
Last updated
09/19/2023
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