Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Bolduc I

Individual provider Occupational Therapy Assistant · NPI 1629435128

Kimberly Bolduc I is an Occupational Therapy Assistant in Alta Loma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

9280 Ioamosa Ct
Alta Loma, CA 91737-2162
Phone: (909) 210-5457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA854 (CA)

Record details

NPI number1629435128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJanuary 28, 2016
Mailing address9280 Ioamosa Ct, Alta Loma, CA 91737-2162