RODERICK GAMBOA STA ROSA

FREEHOLD, NJ
NPI1790957678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00417800)
Enumeration Date2008-03-31
Last Update Date2009-05-15
Business Address
-- RODERICK GAMBOA STA ROSA PT
303 W MAIN ST SUITE B18
FREEHOLD, NJ 07728-4832
Phone number: 732-431-8900
Mailing Address
-- RODERICK GAMBOA STA ROSA PT
4175 VETERANS MEMORIAL HWY SUITE 202
RONKONKOMA, NY 11779-7639
Phone number: 631-580-5200
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