Organization
ADVANCED ORTHOPEDIC REHABILITATION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHRISTOPHER JARDIN DPT, MOTR/L, MTC (PRESIDENT/CEO)
(781) 363-6462
Entity
Organization
Contact information
Practice address
22 PLEASANT ST STE 3A, WEST BRIDGEWATER, MA 02379-1506
(508) 857-0389
(508) 857-2261
Mailing address
52 WILLOW ST, STOUGHTON, MA 02072-1027
(781) 363-6462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000037353
—
MA
05
—
0324949
—
MA
01
—
OT69884
BLUE CROSS BLUE SHIELD
MA
01
—
Y68204
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/31/2018
Last updated
02/04/2020
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