Provider Demographics
NPI:1164771903
Name:LOUQUE, CHRISTIE CRYER (LOTR)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:CRYER
Last Name:LOUQUE
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17709 OLD JEFFERSON HWY STE A
Mailing Address - Street 2:ADVANTAGE THERAPY SERVICES, LLC
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769
Mailing Address - Country:US
Mailing Address - Phone:225-677-8400
Mailing Address - Fax:
Practice Address - Street 1:17709 OLD JEFFERSON HWY STE A
Practice Address - Street 2:ADVANTAGE THERAPY SERVICES, LLC
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769
Practice Address - Country:US
Practice Address - Phone:225-677-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT200493225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand