NPI 1174994552
Kimberly Bourque, OTRL
Practice location
- Address
- 108a North Main Street, Sunderland, MA 01375-9502
- Phone
- (413) 665-8717
- Mailing address
- 28a W Center St, Florence, MA 01062-1210
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1174994552
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Oct 2015
- Record last updated
- 12 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.