Healthcare Provider Details

I. General information

NPI: 1548280951
Provider Name (Legal Business Name): GINA FERRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 SUMMER ST
PROVIDENCE RI
02903-4011
US

IV. Provider business mailing address

621 DEXTER ST
CENTRAL FALLS RI
02863-2742
US

V. Phone/Fax

Practice location:
  • Phone: 401-276-4300
  • Fax:
Mailing address:
  • Phone: 401-721-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA00148
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: