Provider Demographics
NPI:1427646934
Name:STRIEFSKY, COLIN CHRISTOPHER (PTA)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:CHRISTOPHER
Last Name:STRIEFSKY
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ALESANDRA DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18407-8001
Mailing Address - Country:US
Mailing Address - Phone:570-510-3494
Mailing Address - Fax:
Practice Address - Street 1:101 ALESANDRA DR
Practice Address - Street 2:
Practice Address - City:GREENFIELD TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18407-8001
Practice Address - Country:US
Practice Address - Phone:570-510-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-10
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI004997225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant