Healthcare Provider Details

I. General information

NPI: 1992371967
Provider Name (Legal Business Name): LOS GATOS HAND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16615 LARK AVE STE 101
LOS GATOS CA
95032-7645
US

IV. Provider business mailing address

114 ROYCE ST STE E
LOS GATOS CA
95030-6041
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-1460
  • Fax: 408-358-1459
Mailing address:
  • Phone: 408-358-1460
  • Fax: 408-358-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAURANN PUTNAM
Title or Position: OWNER/THERAPIST
Credential: OTL-R
Phone: 408-358-1460