| Ms Kimberly Diane Boullard, OTR | |
|
1000 Eddy Street, Providence, RI 02905 | |
| (401) 533-9100 | |
| Not Available |
| Full Name | Ms Kimberly Diane Boullard |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1000 Eddy Street, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770603862 | NPI | - | NPPES |
| 640014 | Other | RI | UNITED |
| 99947 | Other | RI | BCROSS |
| 2058 | Other | RI | NHPRC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 01140 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Diane Boullard, OTR 9-1 Tuck Farm Rd, Auburn, MA 01501-2455 Ph: (508) 832-8041 | Ms Kimberly Diane Boullard, OTR 1000 Eddy Street, Providence, RI 02905 Ph: (401) 533-9100 |
Alexa Sendley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Randall Sq Ste 302, Providence, RI 02904 Phone: 401-443-5252 | |
Caitlin Kelly, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Allison Marie Hourahan, OTR/L, CLT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 668 Eddy St, Providence, RI 02903 Phone: 401-274-1122 | |
Ms. Diana Navarro, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Blackstone Blvd, Providence, RI 02906 Phone: 401-273-6565 | |
Mrs. Kelly L. Klampert, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Kristen Laurie Bourque, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9165 Fax: 401-533-9105 | |
Miss Christa N Fadden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8661 |