Individual provider · Type 1 NPI

Mary Ballard Broussard, OTR

Occupational Therapist · Conroe, TX

NPI number 1154892982 Active

Practice location

704 Longmire Rd Ste 101
Conroe, TX 77304-1850

Mailing address

805 Yellow Birch Ln
Conroe, TX 77304-1993

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XOTT.200764 (LA)
Occupational Therapist Primary 225X00000X119236 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1154892982

Mary Ballard Broussard, OTR's National Provider Identifier is 1154892982, issued on Dec 5, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Conroe, TX. The record was last updated on Dec 5, 2018.