Individual
DR. LEISELLE SIMONE PILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, MPH
Contact information
Practice address
20295 NE 29TH PL STE 300, AVENTURA, FL 33180-4109
(305) 935-4551
Mailing address
19501 W COUNTRY CLUB DR APT 2011, AVENTURA, FL 33180-2480
(609) 891-5347
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT28511
FL
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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