Healthcare Provider Details

I. General information

NPI: 1871404590
Provider Name (Legal Business Name): JENNI LOW OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2586 REGENT RD
LIVERMORE CA
94550-6539
US

IV. Provider business mailing address

2586 REGENT RD
LIVERMORE CA
94550-6539
US

V. Phone/Fax

Practice location:
  • Phone: 650-218-4011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LOW
Title or Position: OWNER
Credential: OTD, OTR/L, SWC
Phone: 650-218-4011