| 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: Not Enrolled in Medicare 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: Not Enrolled in Medicare Practice Location: 204 E Saint Peter St, Carencro, LA 70520 Phone: 337-896-6686 Fax: 337-565-6003 | |
| Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82 Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3730 Ne Evangeline Trwy Ste D, Carencro, LA 70520 Phone: 337-469-3003 Fax: 337-485-5901 |