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

Individual provider Occupational Therapist · NPI 1770603862

MS. Kimberly Diane Boullard, OTR is an Occupational Therapist in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1000 Eddy St
Providence, RI 02905
Phone: (401) 533-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 01140 (RI)

Record details

NPI number1770603862
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESJuly 8, 2007

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