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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