# PENINSULA REGIONAL REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peninsula/NRH Rehab Network @ Millsboro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942688197
- **Authorized official:** JOHN BRICKLEY (VICE PRESIDENT AMBULATORY OPERATION)
- **Authorized official phone:** (301) 540-6140

## Contact information

- **Practice address:** 30265 COMMERCE DR, SUITE 105, MILLSBORO, DE 19966-3593
- **Practice address phone:** (301) 540-6140
- **Mailing address:** 20410 CENTURY BLVD, SUITE 215, GERMANTOWN, MD 20874-1186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2015
- **Last updated:** 02/18/2016