Healthcare Provider Details

I. General information

NPI: 1689085847
Provider Name (Legal Business Name): PENINSULA-NRH REGIONAL REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30265 COMMERCE DR SUITE 105
MILLSBORO DE
19966-3593
US

IV. Provider business mailing address

30265 COMMERCE DR SUITE 105
MILLSBORO DE
19966-3593
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIO ZUNIGA
Title or Position: AVP
Credential:
Phone: 240-695-3519