Kristen Laurie Bourque
Kristen Laurie Bourque is an Occupational Therapist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.
- Licensed in
- RI
- In the registry since
- 2006
Practice location Address checks out
153 Summer StProvidence, RI 02903-4011
Phone: (401) 276-4300
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT 00994 (RI) |
|---|
Record details
| NPI number | 1063433092 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 23, 2006 |
| Last updated in NPPES | August 19, 2025 |
| Certification date | August 18, 2025 |
| Mailing address | 153 Summer St, Providence, RI 02903-4011 |
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