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Individual

JASON A. MALAVOLTA

Active
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Individual

JASON A. MALAVOLTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002349
DE
225100000X
Physical Therapist
Primary
PT019017
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457530537
IBC AMERIHEALTH
01
2045293
PABS
01
5070-0104
GHMSI
01
94266301
CARE FIRST OF MD
Enumeration date
10/25/2007
Last updated
12/30/2024
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