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Contact Information

JASON A MALAVOLTA, PT
900 WEST BALTIMORE PIKE
SUITE 103
WEST GROVE, PA19390
 Phone: 610-869-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JASON A MALAVOLTA · (Male)

NPI # 1457530537
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/25/2007
Last updated 12/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • DE License # J10002349
  • PA License # PT019017
  • Other 94266301 CARE FIRST OF MD
  • Other 1457530537 CHAMPUS TRICARE
  • Other 5070-0104 GHMSI
  • Other 1457530537 IBC AMERIHEALTH
  • Other 2045293 PABS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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