Charissa Elazegui Culanag, PT

NPI #1073054201 in Tyler, Texas

Provider Information

NPI Number: 1073054201
Entity Type: Individual
Name: Charissa Elazegui Culanag, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 20, 2017
Last Updated: Feb 16, 2023

Practice Location

Address: 5811 PERSIMMON DR
City: Tyler
State: Texas
ZIP Code: 75707-2016
Phone: (432) 352-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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