Organization
REHABILITATION ASSOCIATES
Active
Organization
REHABILITATION ASSOCIATES
Active
Other names
Delaware Back Pain & Sports Rehabilitation Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY L BAKST D.O. (PRESIDENT)
(302) 529-8783
Entity
Organization
Contact information
Practice address
87B OMEGA DR, NEWARK, DE 19713-2065
(302) 733-0980
Mailing address
2006 FOULK RD, SUITE B, WILMINGTON, DE 19810-3644
(302) 733-0980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632730
AETNA HMO
DE
05
—
147504
—
DE
01
—
2272852000
AMERIHEALTH
DE
01
—
5707129
AETNA PPO
DE
01
—
6315910004
PTAN
DE
01
—
CC5686
RAILROAD MEDICARE
DE
Enumeration date
02/16/2010
Last updated
04/27/2010
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