# TRAUMA REHABILITATION , P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912086018
- **Authorized official:** DR. PETER BOHDAN BANDERA MD (OFFICER)
- **Authorized official phone:** (302) 777-7723

## Contact information

- **Practice address:** 11B TROLLEY SQ, WILMINGTON, DE 19806-3342
- **Practice address phone:** (302) 777-7723
- **Practice address fax:** (302) 777-3454
- **Mailing address:** 11B TROLLEY SQ, WILMINGTON, DE 19806-3342
- **Mailing address phone:** (302) 777-7723
- **Mailing address fax:** (302) 777-3454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | C1-0003885 | DE | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020