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NPI Code Detail

MEDICARE: GABRIELA MARIE SIMS DPT

MEDICARE: GABRIELA MARIE SIMS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1394989TX

General Provider Information

NPI Number : 1801625249
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA MARIE SIMS DPT
Provider Business Mailing Address
First Line : 143 STONEBRIAR BLVD
Second Line :
City : JUPITER
State : FL
Zip : 33458-8152
Country : US
Telephone Number : 561-234-8139
Fax Number :
Provider Business Practice Location Address
First Line : 4430 LAVON DR STE 340
Second Line :
City : GARLAND
State : TX
Zip : 75040-2974
Country : US
Telephone Number : 972-495-5416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2024
Last Update Date : 08/01/2024

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