Kimberly Diane Boullard in Auburn - Occupational Therapist
Kimberly Diane Boullard - NPI 1770603862
Kimberly Diane Boullard is a Occupational Therapist in Auburn, Massachusetts. Kimberly Diane Boullard practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kimberly Diane Boullard is 1770603862. The last update date is 2007-07-08.
Kimberly Diane Boullard's current location address is 9-1 Tuck Farm Rd, Auburn, Massachusetts. You can contact this provider via phone number 5088328041. The mailing address for Kimberly Diane Boullard is 9-1 Tuck Farm Rd, Auburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Diane Boullard |
|---|---|
| Address | 9-1 Tuck Farm Rd, Auburn, Massachusetts |
| Phone Number | 5088328041 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1770603862 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9-1 Tuck Farm Rd |
|---|---|
| City | Auburn |
| State | Massachusetts (MA) |
| Post Code | 15012455 |
| Phone Number | 5088328041 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT 01140 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 640014 | RI | UNITED | |
| 99947 | RI | BCROSS | |
| 2058 | RI | NHPRC |
Post Comment/ Review Below
What is the Kimberly Diane Boullard's unique identification number?
The Kimberly Diane Boullard has been assigned the NPI (National Provider Identifier) Number 1770603862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kimberly Diane Boullard?
The Kimberly Diane Boullard is situated at 9-1 Tuck Farm Rd, in the city of Auburn, state of MA, with the zip code 15012455.
What is the Kimberly Diane Boullard's specialty and taxonomy code?
The Kimberly Diane Boullard's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770603862 to Kimberly Diane Boullard?
The Centers for Medicare & Medicaid Services assigned the 1770603862 to Kimberly Diane Boullard on 2007-03-30.
When was the information related to Kimberly Diane Boullard most recently updated or refreshed?
The details pertaining to the Kimberly Diane Boullard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.