JOSE L GAMBOA

OKLAHOMA CITY, OK
NPI1114549920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: OK  2694)
Enumeration Date2020-05-14
Last Update Date2020-05-14
Business Address
Mr. JOSE L GAMBOA PTA
9700 MASHBURN BLVD
OKLAHOMA CITY, OK 73162-5509
Phone number: 405-721-2466
Mailing Address
Mr. JOSE L GAMBOA PTA
9017 N UNIVERSITY AVE APT 14209
OKLAHOMA CITY, OK 73114-4312
Phone number: 918-320-1205