# JINESH GANDHI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063813095
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01903400 | NJ | Yes |
| 225100000X | Physical Therapist | J1-0003161 | DE | — |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 03/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P01437270 | RR MEDICARE | DE |