Individual provider · Type 1 NPI

Jose L. Gamboa Jr., PTA

Geriatric Physical Therapist · Oklahoma City, OK

NPI number 1114549920 Active

Practice location

9700 Mashburn Blvd
Oklahoma City, OK 73162-5509

Mailing address

9017 N University Ave Apt 14209
Oklahoma City, OK 73114-4312

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X2694 (OK)

Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…

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About NPI 1114549920

Jose L. Gamboa Jr., PTA's National Provider Identifier is 1114549920, issued on May 14, 2020. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Oklahoma City, OK. The record was last updated on May 14, 2020.