Provider Demographics
NPI:1821392465
Name:TAMBURELLI, ELISE JANETTE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ELISE
Middle Name:JANETTE
Last Name:TAMBURELLI
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:12508 JONES MALTSBERGER RD
Mailing Address - Street 2:STE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-4215
Mailing Address - Country:US
Mailing Address - Phone:972-691-1331
Mailing Address - Fax:972-691-1731
Practice Address - Street 1:300 E SONTERRA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3991
Practice Address - Country:US
Practice Address - Phone:210-494-4500
Practice Address - Fax:210-494-4501
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2023-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1202733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist