=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841189412
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JENNA PILKINGTON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2025
-----------------------------------------------------
Last Update Date | 06/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7447 N TELEGRAPH RD
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48162-9328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-888-6464
-----------------------------------------------------
Fax | 734-275-0985
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | Q948 COUNTY ROAD 15
-----------------------------------------------------
City | NAPOLEON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43545-7960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-966-9479
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 5201014277
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------