Organization
FIRST STATE REHAB AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOSEPH GANGEMI P.T., D.P.T. (PRESIDENT)
(302) 304-9729
Entity
Organization
Contact information
Practice address
111 OXFORD PL, WILMINGTON, DE 19803-4517
(443) 252-7367
(888) 509-1710
Mailing address
111 OXFORD PL, WILMINGTON, DE 19803-4517
(302) 304-9729
(888) 509-1710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/10/2015
Last updated
01/01/2024
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