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Contact Information

JENNIFER M CHAN, OTR.,CHT
321 MIDDLEFIELD ROAD
MENLO PARK, CA94025
 Phone: 650-462-0245
 Fax: 650-462-0225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER M CHAN · (Female)

NPI Number 1730452251
Status Active
Credentials OTR.,CHT
Entity Individual
Enumeration date 02/14/2012
Last updated 02/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 11014
  • CA Medicaid 05305
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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