MARY BOURQUE

CARENCRO, LA
NPI1326403445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  300739)
Enumeration Date2015-12-16
Last Update Date2017-10-05
Business Address
Miss MARY BOURQUE MOT, LOTR
204 E SAINT PETER ST
CARENCRO, LA 70520-4009
Phone number: 337-896-6686
Mailing Address
Miss MARY BOURQUE MOT, LOTR
2002 JOHNSON ST STE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547