Miss Mary Bourque, MOT, LOTR in Carencro, LA - Occupational Therapist

Miss Mary Bourque, MOT, LOTR is a Occupational Therapist based in Carencro, Louisiana. Miss Mary Bourque is licensed to practice in Louisiana (license number 300739) and her current practice location is 204 E Saint Peter St, Carencro, Louisiana. She can be reached at her office (for appointments etc.) via phone at (337) 896-6686.

NPI number for Miss Mary Bourque is 1326403445 and her current mailing address is 2002 Johnson St Ste 100, Jennings, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326403445.

Contact Information

	Miss Mary Bourque, MOT, LOTR
	204 E Saint Peter St, Carencro, LA 70520-4009
	(337) 896-6686
	(337) 565-6003

Healthcare Provider's Profile

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.

NPI Data:

NPI Number: 1326403445
Provider Enumeration Date: 12/16/2015
Last Update Date: 10/05/2017

Medical Identifiers

Medical identifiers for Miss Mary Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326403445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	300739 (Louisiana)	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. Miss Mary 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 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

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Occupational Therapist in Carencro, LA

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

Miss Mary Bourque, MOT, LOTR - Occupational Therapist in Carencro, LA