Provider Demographics
NPI:1376828418
Name:NOVA, PRISCILLA FERREIRA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:FERREIRA
Last Name:NOVA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:FERREIRA
Other - Last Name:VASCONCELOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1240 PAWTUCKET AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1432
Mailing Address - Country:US
Mailing Address - Phone:401-331-1350
Mailing Address - Fax:
Practice Address - Street 1:134 THURBERS AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4754
Practice Address - Country:US
Practice Address - Phone:401-331-1350
Practice Address - Fax:401-277-3388
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01243225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist