Provider Demographics
NPI:1184591836
Name:PROCACCINI, GIANNA ELIZABETH
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:ELIZABETH
Last Name:PROCACCINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 HOPE ST # 2A
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3534
Mailing Address - Country:US
Mailing Address - Phone:401-533-4270
Mailing Address - Fax:
Practice Address - Street 1:719 HOPE ST # 2A
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3534
Practice Address - Country:US
Practice Address - Phone:401-533-4270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOTA4804224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant