Silver Fern Practice, LLC

NPI #1851472914 in Pawtucket, Rhode Island

Provider Information

NPI Number
1851472914
Entity Type
Organization
Organization Name
Silver Fern Practice, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Oct 17, 2006
Last Updated
Nov 6, 2025

Practice Location

Address
21 DIVISION ST
ZIP Code
02860-5301
Phone
(401) 433-4172

Authorized Official

Name
KATELYN DIMINICO
Title
CREDENTIALING SPECIALIST
Phone
(401) 433-4172

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Physical Therapist

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