Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Bolduc I

Individual provider Occupational Therapy Assistant · NPI 1629435128

Kimberly Bolduc I is an Occupational Therapy Assistant in Alta Loma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9280 Ioamosa Ct
Alta Loma, CA 91737-2162
Phone: (909) 210-5457
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA854 (CA)

Record details

NPI number1629435128
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJanuary 28, 2016