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

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/12/2016
Last updated
11/26/2025
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