MEDICARE: JANHAVI MANESH KUTMUTIA M.S OTR/L

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	OT16026	CA
2	225X00000X	Occupational Therapist	351982	MD

General Provider Information

NPI Number	:	1588152987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANHAVI MANESH KUTMUTIA M.S OTR/L

Provider Business Mailing Address
First Line	:	H BERRY DR
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94043-1583
Country	:	US
Telephone Number	:	408-205-8421
Fax Number	:

Provider Business Practice Location Address
First Line	:	H BERRY DR
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94043-1583
Country	:	US
Telephone Number	:	410-212-1295
Fax Number	:

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

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	12/10/2025

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