Provider Demographics
NPI:1609935980
Name:ELDRIDGE, DAVID K (PT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:ELDRIDGE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 COLEMAN BOYLAN DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-5220
Mailing Address - Country:US
Mailing Address - Phone:281-332-1748
Mailing Address - Fax:
Practice Address - Street 1:2500 MARINA BAY DR
Practice Address - Street 2:STE P
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2860
Practice Address - Country:US
Practice Address - Phone:281-538-8375
Practice Address - Fax:281-538-2204
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist