Provider Demographics
NPI:1730796186
Name:LU, ERLINDA B (PT)
Entity type:Individual
Prefix:
First Name:ERLINDA
Middle Name:B
Last Name:LU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 SUDBURY
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2409
Mailing Address - Country:US
Mailing Address - Phone:361-510-9391
Mailing Address - Fax:
Practice Address - Street 1:9929 S PADRE ISLAND DR STE 117
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5148
Practice Address - Country:US
Practice Address - Phone:361-354-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1041747225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist