Organization
FUNCTIONAL FORM PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE TOUMA MSPT (OWNER)
(202) 285-6292
Entity
Organization
Contact information
Practice address
5400 WESTBARD AVE STE 290, BETHESDA, MD 20816-1520
(202) 285-6292
Mailing address
16205 WHITEHAVEN RD, SILVER SPRING, MD 20906-1129
(202) 285-6292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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