Organization
SILVER FERN PRACTICE, LLC
Active
Other names
Highbar
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN DIMINICO (CREDENTIALING SPECIALIST)
(401) 433-4172
Entity
Organization
Contact information
Practice address
21 DIVISION ST, PAWTUCKET, RI 02860-5301
(401) 433-4172
(401) 433-0612
Mailing address
4 RICHMOND SQ STE 200, 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
10/17/2006
Last updated
11/06/2025
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