Organization
GAMBARU CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOLORES IVETTE KERSHAW MS,OTR/L (DIRECTOR)
(617) 899-8380
Entity
Organization
Contact information
Practice address
999 BROADWAY, SUITE 100, SAUGUS, MA 01906-4521
(781) 558-9565
(781) 558-9567
Mailing address
999 BROADWAY, SUITE 100, SAUGUS, MA 01906-4521
(781) 558-9565
(781) 558-9567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
8818
MA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
8818
MA
225XP0019X
Physical Rehabilitation Occupational Therapist
8818
MA
225XP0200X
Pediatric Occupational Therapist
Primary
8818
MA
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/09/2008
Last updated
12/08/2010
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