Kristen Laurie Bourque, - Occupational Therapist in Providence, RI

Kristen Laurie Bourque, is a Occupational Therapist based in Providence, Rhode Island. Kristen Laurie Bourque is licensed to practice in Rhode Island (license number OT 00994) and her current practice location is 1000 Eddy St, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 533-9165.

NPI number for Kristen Laurie Bourque is 1063433092 and her current mailing address is 1000 Eddy St, Providence, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063433092.

Contact Information

Kristen Laurie Bourque,
1000 Eddy St,
Providence, RI 02905-4739
(401) 533-9165
(401) 533-9105



Healthcare Provider's Profile

Full NameKristen Laurie Bourque
GenderFemale
SpecialityOccupational Therapist
Location1000 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063433092
  • Provider Enumeration Date: 07/23/2006
  • Last Update Date: 11/22/2022

Medical Identifiers

Medical identifiers for Kristen Laurie Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063433092NPI-NPPES
ES01788MedicaidRI
0614OtherRINHP RI
SB870OtherRIBC RI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 10918 (Massachusetts)Secondary
225X00000XOccupational Therapist OT 00994 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Laurie Bourque is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristen Laurie Bourque,
1000 Eddy St,
Providence, RI 02905-4739

Ph: (401) 533-9165
Kristen Laurie Bourque,
1000 Eddy St,
Providence, RI 02905-4739

Ph: (401) 533-9165

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› Verified 6 days ago


Occupational Therapist in Providence, RI

Caitlin Kelly,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Eddy St, Providence, RI 02905
Phone: 401-533-9100    
Jennifer B Roosa, OTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Eddy Street, Providence, RI 02905
Phone: 401-533-9100    
Allison Marie Hourahan, OTR/L, CLT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 668 Eddy St, Providence, RI 02903
Phone: 401-274-1122    
Ms. Diana Navarro, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 353 Blackstone Blvd, Providence, RI 02906
Phone: 401-273-6565    
Mrs. Kelly L. Klampert, OTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Eddy St, Providence, RI 02905
Phone: 401-533-9100    
Miss Christa N Fadden, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8661    

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