Jennifer Anderson

Individual provider Active NPI Occupational Therapist · Millbrae, CA

NPI 1144167263 · NPPES record last updated Apr 29, 2026

Key facts

NPI
1144167263
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17470 (CA)
Practice address
464 Lincoln Cir Apt 4
Millbrae, CA 94030-1755
Phone
(650) 291-5285
NPI assigned
Apr 29, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17470CAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17470 CA Yes

Addresses

Primary practice location

464 Lincoln Cir Apt 4
Millbrae, CA 94030-1755

Mailing address

464 Lincoln Cir Apt 4
Millbrae, CA 94030-1755
Phone (650) 291-5285

Other providers in Millbrae, CA

All providers in Millbrae, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.