KRISTEN LAURIE BOURQUE

PROVIDENCE, RI
NPI1063433092
Former NameKRISTEN LAURIE GOULET
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: RI  OT 00994)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MA  10918)
Enumeration Date2006-07-23
Last Update Date2022-11-22
Business Address
KRISTEN LAURIE BOURQUE
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-533-9165
Mailing Address
KRISTEN LAURIE BOURQUE
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-533-9165