| Organization Name: | GAMBARU CORP |
| NPI Number: | 1053601393 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOLORES I KERSHAW (PRESIDENT) |
| Mailing Address: | 999 Broadway Suite 100 Saugus |
| State: | MA US |
| Postal Code: | 019064521 |
| Phone Number: | 7815589565 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2011 |
| NPI Last Update Date: | 04/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251H1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Human Factors |
| Taxonomy Definition: | |