MEDICARE: JYOTI ANANT GANDHI 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	OC000223L	PA
2	225X00000X	Occupational Therapist	OC-000223-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518946383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JYOTI ANANT GANDHI OTR/L

Provider Business Mailing Address
First Line	:	401 LOCUST STREET
Second Line	:	SUITE 2A
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3954
Country	:	US
Telephone Number	:	412-299-0704
Fax Number	:	412-299-2823

Provider Business Practice Location Address
First Line	:	401 LOCUST STREET
Second Line	:	SUITE 2A
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3954
Country	:	US
Telephone Number	:	412-299-0704
Fax Number	:	412-299-2823

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	12/30/2011

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Directions to “ JYOTI ANANT GANDHI OTR/L” Practice Location

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