Ms. Kimberly Diane Boullard is a Providence, Rhode Island based therapist who is specialized in Occupational Therapy. Active license number of Ms. Kimberly Diane Boullard is OT 01140 for Occupational Therapy in Rhode Island. Her current practice location is 1000 Eddy Street, Providence. Patients can reach her at 401-533-9100. Ms. Kimberly Diane Boullard is OTR in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1770603862.
Ms. Kimberly Diane Boullard provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Ms. Kimberly Diane Boullard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Kimberly Diane Boullard |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR |
| Practice Address: | 1000 Eddy Street, Providence,
Rhode Island, 02905 |
| Phone: | 401-533-9100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| NPI Number: | 1770603862 |
| NPI Enumeration Date: | 30 Mar, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kimberly Diane Boullard are as mentioned below.
| License Number | Specialization | State | Status | |
| OT 01140 | Occupational Therapy | Rhode Island | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kimberly Diane Boullard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 640014 | Other | Rhode Island | UNITED |
| 99947 | Other | Rhode Island | BCROSS |
| 2058 | Other | Rhode Island | NHPRC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Kimberly Diane Boullard
9-1 Tuck Farm Rd,
Auburn, Massachusetts |
| Zip: | 01501-2455 |
| Phone Number: | 508-832-8041 |
Patients can reach Ms. Kimberly Diane Boullard at
1000 Eddy Street, Providence, Rhode Island or can
call to book an appointment on 401-533-9100.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.