Individual
KIMBERLY NICOLE ROULSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8101 WASHINGTON LN STE 101, WYNCOTE, PA 19095-1625
(215) 277-7495
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
02/26/2026
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