Individual
JASON TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
204 WORCESTER ST, WELLESLEY, MA 02481-5473
(781) 772-2406
(844) 912-8608
Mailing address
4 RICHMOND SQ, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25756
MA
Other
Enumeration date
09/02/2021
Last updated
10/16/2025
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