Healthcare Provider Details

I. General information

NPI: 1588152987
Provider Name (Legal Business Name): JANHAVI MANESH KUTMUTIA M.S OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H BERRY DR
MOUNTAIN VIEW CA
94043-1583
US

IV. Provider business mailing address

H BERRY DR
MOUNTAIN VIEW CA
94043-1583
US

V. Phone/Fax

Practice location:
  • Phone: 410-212-1295
  • Fax:
Mailing address:
  • Phone: 408-205-8421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT16026
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number351982
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: