MEDICARE: JENNIFER ANNE CHOW OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	25376	CA

General Provider Information

NPI Number	:	1538945050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANNE CHOW OTR/L

Provider Business Mailing Address
First Line	:	3750 CONVOY ST STE 201B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3738
Country	:	US
Telephone Number	:	858-302-2499
Fax Number	:

Provider Business Practice Location Address
First Line	:	3750 CONVOY ST STE 201B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3738
Country	:	US
Telephone Number	:	858-302-2499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	01/05/2026

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