Provider Demographics
NPI:1477343002
Name:SOSA, ELIZABETH CHRISTEEN (DPT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CHRISTEEN
Last Name:SOSA
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 HIGHGROVE TER
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4500
Mailing Address - Country:US
Mailing Address - Phone:956-642-6691
Mailing Address - Fax:
Practice Address - Street 1:2102 HIGHGROVE TER
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4500
Practice Address - Country:US
Practice Address - Phone:956-642-6691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1402239225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist