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

Individual provider Occupational Therapist · NPI 1154892982

Mary Ballard Broussard, OTR is an Occupational Therapist in Conroe, Texas. Licensed in Louisiana and Texas. Registered with an NPI since 2018.

Licensed in
LA, TX
In the registry since
2018
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

704 Longmire Rd Ste 101
Conroe, TX 77304-1850
Phone: (985) 373-8018
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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 119236 (TX)
Occupational Therapist Taxonomy 225X00000X · Licence OTT.200764 (LA)

Record details

NPI number1154892982
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedDecember 5, 2018
Last updated in NPPESDecember 5, 2018

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