Organization
REHABILITATION ASSOCIATES, P.A.
Active
Organization
REHABILITATION ASSOCIATES, P.A.
Active
Other names
Delaware Back Pain & Sports Rehabilitation Centers
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA WOLLASTON (CREDENTIALING SPECIALIST)
(302) 529-8783
Entity
Organization
Contact information
Practice address
2006 FOULK RD, SUITE B, WILMINGTON, DE 19810-3644
(302) 529-8783
(302) 529-1586
Mailing address
200 BIDDLE AVE, SPRINGSIDE, SUITE 204, NEWARK, DE 19702-3968
(302) 529-8783
(302) 529-1586
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632730
AETNA HMO
DE
05
—
147504
—
DE
01
—
1595337
AMERIHEALTH
DE
01
—
2272852000
AMERIHEATH-KEYSTONE
DE
01
—
26774
COVENTRY
DE
01
—
386606954
BLUE CROSS/BLUE SHIELD
DE
01
—
386606954CHI
BC/BS-CHIRO
DE
01
—
5707129
AETNA PPO
DE
01
—
CC5686
RAILROAD MEDICARE
DE
Enumeration date
06/25/2006
Last updated
07/21/2022
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