Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OTT200493 | LA |
NPI | 1164771903 |
---|---|
Provider Name | Mrs. Christie Cryer Louque |
First Address | Prairieville, LA 70769 |
Second Address | Prairieville, LA 70769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2012 |
Last Update Date | 07/09/2012 |