Individual
LAINA FESENMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 276-4300
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02285
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NHPRI
RI
05
—
ES01788
—
RI
01
—
SB870
BC
RI
Enumeration date
05/24/2024
Last updated
08/05/2025
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