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Organization
LAKESHORE PHYSICAL THERAPY CONTRACT SERVICES, LLC
Active
Organization
LAKESHORE PHYSICAL THERAPY CONTRACT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JOSEPH CRONIN PT (PRESIDENT)
(504) 874-0083
Entity
Organization
Contact information
Practice address
127 TCHEFUNCTA SOUTH DR, COVINGTON, LA 70433-7809
(504) 874-0083
Mailing address
127 TCHEFUNCTA SOUTH DRIVE, COVINGTON, LA 70433
(504) 874-0083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04641
LA
Other
Enumeration date
06/29/2007
Last updated
02/12/2014
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