Individual
EDITH CRUZ ELLORIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
729 N 77 SUNSHINE STRIP, HARLINGEN, TX 78550-8847
(956) 421-4667
(956) 421-2016
Mailing address
1614 FAIRFIELD CT, HARLINGEN, TX 78550-3583
(956) 423-5985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1112746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86013T
BCBS OF TEXAS
TX
Enumeration date
10/26/2006
Last updated
07/08/2007
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