# SILVER FERN PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831550250
- **Authorized official:** MICHELLE MARIE MONIZ (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (401) 433-4172

## Contact information

- **Practice address:** 75A SCOTLAND BLVD, BRIDGEWATER, MA 02324-2302
- **Practice address phone:** (508) 697-2000
- **Practice address fax:** (508) 697-2002
- **Mailing address:** 4 RICHMOND SQ, PROVIDENCE, RI 02906-5117
- **Mailing address phone:** (401) 433-4172
- **Mailing address fax:** (401) 433-0612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2016
- **Last updated:** 11/26/2025
