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

Individual provider Occupational Therapist · NPI 1326403445

Miss. Mary Bourque, MOT, LOTR is an Occupational Therapist in Carencro, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
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Practice location Address checks out

204 E Saint Peter St
Carencro, LA 70520-4009
Phone: (337) 896-6686
Fax: (337) 565-6003
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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 300739 (LA)

Record details

NPI number1326403445
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , LOTR
Sole proprietorNo
NPI enumeratedDecember 16, 2015
Last updated in NPPESOctober 5, 2017

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