| NPI | 1932643780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH GANGEMI Member/Chief Clinical Officer 302-304-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19839) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2020-01-10 |