Search › New Jersey › 225100000X
Bo Blaine Gumalo, PT, DPT
NPI 1083263982 · on the registry since 2019 · sole proprietor
Practice
- Address
- 605 Main St
Hackensack, NJ 07601 - Phone
- (201) 488-0488
- Fax
- (201) 488-5787
- Organisation at this address
- Sports Medicine Center Of Bergen, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey