Silver Fern Practice, LLC
NPI #1801347760 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1801347760
- Entity Type
- Organization
- Organization Name
- Silver Fern Practice, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 17, 2016
- Last Updated
- Mar 28, 2017
Practice Location
- Address
- 1235 WAMPANOAG TRL
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-1231
- Phone
- (401) 433-4049
Authorized Official
- Name
- TRACY TRASKAUSKAS
- Title
- CREDENTIALING SPECIALIST
- Phone
- (401) 433-4172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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