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Organization
SILVER FERN PRACTICE, LLC
Active
Organization
SILVER FERN PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARIE MONIZ (CREDENTIALING SPECIALIST)
(401) 433-4172
Entity
Organization
Contact information
Practice address
39 HOME DEPOT DR, PLYMOUTH, MA 02360-2669
(401) 433-4172
(401) 433-0612
Mailing address
4 RICHMOND SQ, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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