Provider Demographics
NPI:1780993550
Name:CALABRIA, ELIZABETH SUSAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:SUSAN
Last Name:CALABRIA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
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Mailing Address - Street 1:12410 ALAMEDA TRACE CIR
Mailing Address - Street 2:#1823
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-6492
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5114 BALCONES WOODS DR
Practice Address - Street 2:SUITE 306
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5273
Practice Address - Country:US
Practice Address - Phone:512-794-8863
Practice Address - Fax:512-795-0688
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX11988402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic