# PA REHAB ASSOCIATES PC

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

## Provider details

- **NPI number:** 1316902885
- **Authorized official:** PASQUALE A COLAVITA DO (PRESIDENT)
- **Authorized official phone:** (215) 334-3869

## Contact information

- **Practice address:** 2230 S BROAD ST, PHILADELPHIA, PA 19145-3950
- **Practice address phone:** (215) 334-3869
- **Practice address fax:** (215) 755-3300
- **Mailing address:** PO BOX 709, GLADWYNE, PA 19035-0709
- **Mailing address phone:** (610) 734-0630
- **Mailing address fax:** (610) 734-0874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 05/02/2013
