Healthcare Provider Details

I. General information

NPI: 1912718560
Provider Name (Legal Business Name): GIAVANA CATHERINE CIOLFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 RHODES AVE
NORTH SMITHFIELD RI
02896-6987
US

IV. Provider business mailing address

17 MAYNARD ST
NORTH PROVIDENCE RI
02904-4417
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA01306
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: