Provider Demographics
NPI:1801625249
Name:SIMS, GABRIELA MARIE (DPT)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:MARIE
Last Name:SIMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 STONEBRIAR BLVD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8152
Mailing Address - Country:US
Mailing Address - Phone:561-234-8139
Mailing Address - Fax:
Practice Address - Street 1:4430 LAVON DR STE 340
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2974
Practice Address - Country:US
Practice Address - Phone:972-495-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1394989225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist