Healthcare Provider Details

I. General information

NPI: 1689306292
Provider Name (Legal Business Name): ADITI AMLANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15891 LOS GATOS ALMADEN RD
LOS GATOS CA
95032-3742
US

IV. Provider business mailing address

1802 15TH ST
SAN FRANCISCO CA
94103-2208
US

V. Phone/Fax

Practice location:
  • Phone: 408-559-2011
  • 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:
Title or Position:
Credential:
Phone: