Jose Gamboa, PTA

NPI 1114549920 · on the registry since 2020

Practice

Address: 9700 Mashburn Blvd
Oklahoma City, OK 73162
Phone: (405) 721-2466
Organisation at this address: Baptist Village Retirement Communities Of Ok, Inc
Baptist Village Retirement Communities Of Oklahoma Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 2251G0304X
2251G0304X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-05-14

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 Oklahoma