| Miss Mary Bourque, MOT, LOTR | |
|
204 E Saint Peter St, Carencro, LA 70520-4009 | |
| (337) 896-6686 | |
| (337) 565-6003 |
| Full Name | Miss Mary Bourque |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 204 E Saint Peter St, Carencro, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326403445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 300739 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Mary Bourque, MOT, LOTR 2002 Johnson St Ste 100, Jennings, LA 70546-3640 Ph: (337) 824-4547 | Miss Mary Bourque, MOT, LOTR 204 E Saint Peter St, Carencro, LA 70520-4009 Ph: (337) 896-6686 |
Christopher Matzye, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 204 E Saint Peter St, Carencro, LA 70520 Phone: 337-896-6686 Fax: 337-565-6003 | |
Mrs. Chalya Rader Dugar, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Spanish Oak Dr, Carencro, LA 70520 Phone: 337-380-6539 | |
Joan B Leger, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 E Saint Peter St, Carencro, LA 70520 Phone: 337-896-6686 Fax: 337-565-6003 | |
Mrs. Morgan Ortego Broussard, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 Herlil Cir, Carencro, LA 70520 Phone: 337-739-5837 Fax: 337-896-2970 | |
Caroline Bordelon Detraz, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 204 E Saint Peter St, Carencro, LA 70520 Phone: 337-896-6686 Fax: 337-565-6003 | |
Kaitlyn Reaux Johnson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 204 E Saint Peter St, Carencro, LA 70520 Phone: 337-896-6686 Fax: 337-565-6003 |