New Form Physical Therapy and Wellness Center P.a.

NPI #1487028874 in Aventura, Florida

Provider Information

NPI Number: 1487028874
Entity Type: Organization
Organization Name: New Form Physical Therapy and Wellness Center P.a.
Primary Specialty: Physical Therapist
Enumeration Date: Nov 23, 2015
Last Updated: Sep 1, 2023

Practice Location

Address: 17971 BISCAYNE BLVD STE 104
City: Aventura
State: Florida
ZIP Code: 33160-2531
Phone: (305) 999-1844

Authorized Official

Name: MRS. SIMONE SALLES, PT, MSPT, DPT
Title: PHYSICAL THERAPIST
Phone: (305) 766-4181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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