Active NPIIndividual providerSole proprietor

Kimberly Bourque, OTR/L

Community Health Worker in Sunderland, Massachusetts

NPI Number1174994552
Practice location
108A North Main Street, Sunderland, MA 01375-9502
Fax
—
Last updated
October 12, 2015

Kimberly Bourque is a Community Health Worker based in Sunderland, MA. Kimberly Bourque practices in Sunderland, MA and has the professional credentials of OTR/L. The NPI Number for Kimberly Bourque is 1174994552. The current practice location address for Kimberly Bourque is 108A North Main Street, Sunderland, MA 01375-9502 and can be reached out via phone at 413-665-8717.

Provider Profile Details

NPI Number
1174994552
Provider Name
Kimberly Bourque
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
108A North Main Street, Sunderland, MA 01375-9502
Phone Number
413-665-8717
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 12, 2015
Last Update Date
October 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
108A North Main Street
Sunderland, MA 01375-9502
Zip
01375-9502
Phone Number
413-665-8717
Sunderland, MA 01375Get directions →

Provider Business Mailing Address Details

Address
28A W Center St
Florence, MA 01062-1210
City
Florence
State
MA
Zip
01062-1210
Phone Number
413-320-0140

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kimberly Bourque, OTR/L?

The NPI number of Kimberly Bourque, OTR/L is 1174994552. It was assigned on October 12, 2015 and is currently active in the NPPES registry.

What is the specialty of Kimberly Bourque, OTR/L?

Kimberly Bourque, OTR/L is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Kimberly Bourque, OTR/L practice?

The practice location is 108A North Main Street, Sunderland, MA 01375-9502. The office can be reached at 413-665-8717 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174994552 directly on the NPPES registry website.

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