Healthcare Provider Details

I. General information

NPI: 1396227872
Provider Name (Legal Business Name): ADVANCED ORTHOPEDIC REHABILITATION SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2018
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 PLEASANT ST STE 3A
WEST BRIDGEWATER MA
02379-1506
US

IV. Provider business mailing address

52 WILLOW ST
STOUGHTON MA
02072-1027
US

V. Phone/Fax

Practice location:
  • Phone: 508-857-0389
  • Fax: 508-857-2261
Mailing address:
  • Phone: 781-363-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CHRISTOPHER JARDIN
Title or Position: PRESIDENT/CEO
Credential: DPT, MOTR/L, MTC
Phone: 781-363-6462