MEDICARE: JENNIFER ROBBINS OT

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	25269	CA
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1568241867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ROBBINS OT

Provider Business Mailing Address
First Line	:	3711 LONG BEACH BLVD STE 803
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4135 E COLORADO ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2822
Country	:	US
Telephone Number	:	951-440-4687
Fax Number	:

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

Provider Enumeration Date	:	09/26/2023
Last Update Date	:	07/27/2024

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