Ms. Kimberly D Boullard, OTR
Occupational Therapist in Providence, Rhode Island
1770603862- Practice location
- 1000 Eddy Street, Providence, RI 02905
- Phone
- 401-533-9100
- Fax
- —
- Last updated
- July 8, 2007
Kimberly Diane Boullard is an Occupational Therapist based in Providence, RI. Kimberly Diane Boullard practices in Providence, RI and has the professional credentials of OTR. The NPI Number for Kimberly Diane Boullard is 1770603862 and holds a License No. OT 01140 (RI). The current practice location address for Kimberly Diane Boullard is 1000 Eddy Street, Providence, RI 02905 and can be reached out via phone at 401-533-9100.
Provider Profile Details
- NPI Number
- 1770603862
- Provider Name
- Kimberly Diane Boullard
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1000 Eddy Street, Providence, RI 02905
- Phone Number
- 401-533-9100
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Other Names
- Ms. Kimberly Diane Backunas, OTR (Former Name)
- Provider Enumeration Date
- March 30, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Eddy Street
Providence, RI 02905 - City
- Providence
- State
- Rhode Island
- Zip
- 02905
- Phone Number
- 401-533-9100
Provider Business Mailing Address Details
- Address
- 9-1 Tuck Farm RD
Auburn, MA 01501-2455 - City
- Auburn
- State
- MA
- Zip
- 01501-2455
- Phone Number
- 508-832-8041
License Information
- License Number
- OT 01140
- License State
- RI
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Kimberly D Boullard, OTR?
The NPI number of Ms. Kimberly D Boullard, OTR is 1770603862. It was assigned on March 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Kimberly D Boullard, OTR?
Ms. Kimberly D Boullard, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in RI under license number OT 01140.
Where does Ms. Kimberly D Boullard, OTR practice?
The practice location is 1000 Eddy Street, Providence, RI 02905. The office can be reached at 401-533-9100 (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 1770603862 directly on the NPPES registry website.