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NPI Code Detail

MEDICARE: MR. PATRICK PAUL LA CROIX MPT

MEDICARE: MR. PATRICK PAUL LA CROIX MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA00849600NJ

General Provider Information

NPI Number : 1376505503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK PAUL LA CROIX MPT
Provider Business Mailing Address
First Line : 223 S HORACE ST
Second Line :
City : WOODBURY
State : NJ
Zip : 08096-2286
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2103 BURLINGTON MOUNT HOLLY RD
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-4157
Country : US
Telephone Number : 609-747-1915
Fax Number : 609-747-8565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 01/20/2026

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