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Organization

RULE 76 PERFORMANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON ORTOLANO PT, DPT (OWNER)
(203) 500-6118
Entity
Organization

Contact information

Practice address
22 FRONT ST STE 210, WORCESTER, MA 01608-1705
(203) 500-6118
Mailing address
22 FRONT ST STE 210, WORCESTER, MA 01608-1705
(774) 214-0691

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
03/31/2025
Last updated
10/16/2025
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