Individual provider · Type 1 NPI

Adriel Iiram Gamboa, PTA

Physical Therapy Assistant · Albuquerque, NM

NPI number 1609553205 Active

Practice location

3830 Commons Ave NE
Albuquerque, NM 87109-5831

Call (505) 424-1239 Map

Mailing address

PO Box 33286
Santa Fe, NM 87594-3286

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2091 (NM)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1609553205

Adriel Iiram Gamboa, PTA's National Provider Identifier is 1609553205, issued on Jul 5, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 5, 2023.