Provider Demographics
NPI:1578031316
Name:ELORZA, BRISSA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BRISSA
Middle Name:
Last Name:ELORZA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2956
Mailing Address - Country:US
Mailing Address - Phone:956-542-8504
Mailing Address - Fax:956-542-6510
Practice Address - Street 1:1901 E 22ND ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2956
Practice Address - Country:US
Practice Address - Phone:956-542-8504
Practice Address - Fax:956-542-6510
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1295239225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist