# LAKESHORE PHYSICAL THERAPY CONTRACT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447457619
- **Authorized official:** MR. CHRISTOPHER JOSEPH CRONIN PT (PRESIDENT)
- **Authorized official phone:** (504) 874-0083

## Contact information

- **Practice address:** 127 TCHEFUNCTA SOUTH DR, COVINGTON, LA 70433-7809
- **Practice address phone:** (504) 874-0083
- **Mailing address:** 127 TCHEFUNCTA SOUTH DRIVE, COVINGTON, LA 70433
- **Mailing address phone:** (504) 874-0083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 04641 | LA | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 02/12/2014