NPI 1013199454

Bonilyn Lora Gamboa, PT

Practitioner Physical Therapist Fort Lauderdale, FL

Practice location

Address: 3201 W Commercial Blvd Suite 116, Fort Lauderdale, FL 33309-3440
Phone: (954) 332-4445
Mailing address: 3290 N Ridge Rd Executive Center II Suite 290, Ellicott City, MD 21043-3655

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1013199454
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2007
Record last updated: 28 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.