Silver Fern Practice, LLC

NPI #1265980080 in Providence, Rhode Island

Provider Information

NPI Number
1265980080
Entity Type
Organization
Organization Name
Silver Fern Practice, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SILVER FERN PRACTICE, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Sep 21, 2016
Last Updated
Nov 6, 2025

Practice Location

Address
49 SEEKONK ST
ZIP Code
02906-5176
Phone
(401) 230-1126

Authorized Official

Name
TRACY TRASKAUSKAS
Title
CREDENTIALING SPECIALIST
Phone
(401) 433-4172

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist

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