NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1043979693 |   |   |   | SILVER FERN PRACTICE, LLC | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1962877241 | OLSEN | SAMANTHA |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1750788527 | WALLICK | KOURTNEY |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |