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

Mallory Vincent, OTR

Individual provider Occupational Therapist · NPI 1255903449

Mallory Vincent, OTR is an Occupational Therapist in Broussard, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

115 Newshire Dr
Broussard, LA 70518-4987
Phone: (337) 534-8978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 328058 (LA)
Occupational Therapist Taxonomy 225X00000X (LA)

Record details

NPI number1255903449
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address115 Newshire Dr, Broussard, LA 70518-4987

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