Bo Blaine Gumalo, PT, DPT
NPI #1083263982 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1083263982
- Entity Type
- Individual
- Name
- Bo Blaine Gumalo, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Sep 4, 2019
- Last Updated
- Sep 4, 2019
Practice Location
- Address
- 605 MAIN ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-5914
- Phone
- (201) 488-0488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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