Mirza Concepcion Gamboa
Mirza Concepcion Gamboa is a Physical Therapist in Somerville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
110 Rehill AveSomerville, NJ 08876-2519
Phone: (908) 595-2388
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA00644000 (NJ) |
|---|
Record details
| NPI number | 1659017598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 11, 2022 |
| Last updated in NPPES | May 11, 2022 |
| Certification date | May 11, 2022 |
| Mailing address | 30 Richmar Ct, Freehold, NJ 07728-9376 |
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