MEDICARE: JENNIFER MARIE SCHERBA OTR

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	PENDING	CA

General Provider Information

NPI Number	:	1871018234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MARIE SCHERBA OTR

Provider Business Mailing Address
First Line	:	456 GRAND BLVD
Second Line	:
City	:	HALF MOON BAY
State	:	CA
Zip	:	94019-6107
Country	:	US
Telephone Number	:	415-828-5533
Fax Number	:

Provider Business Practice Location Address
First Line	:	456 GRAND BLVD
Second Line	:
City	:	HALF MOON BAY
State	:	CA
Zip	:	94019-6107
Country	:	US
Telephone Number	:	415-828-5533
Fax Number	:

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

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	07/21/2022

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