Provider Demographics
NPI:1194289017
Name:SBORZ, CHRISTIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:SBORZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 BUNTING ST
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-9045
Mailing Address - Country:US
Mailing Address - Phone:570-691-4142
Mailing Address - Fax:
Practice Address - Street 1:10 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:FRACKVILLE
Practice Address - State:PA
Practice Address - Zip Code:17931-2418
Practice Address - Country:US
Practice Address - Phone:570-621-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT026080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist