Basic Information
Provider Information
NPI: 1437272770
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARDEN
FirstName: ARLENE
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 689 OLD CONNECTICUT PATH
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017017746
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 125 PARKER HILL AVE
Address2:  
City: ROXBURY CROSSING
State: MA
PostalCode: 021202847
CountryCode: US
TelephoneNumber: 6177545800
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X3136MAX Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
2251C2600X3136MAX Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistCardiopulmonary
2251G0304X3136MAX Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics

No ID Information.


Home