National Provider Identifier

Colleen Marie Proefrock, PTA

Colleen Marie Proefrock, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Batavia, NY and a listed phone number of (585) 356-6255.

NPI 1255664710Batavia, NYPhysical Therapy Assistant

Profile Overview

NPI
1255664710
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
September 15, 2009
Last Updated
September 15, 2009

Practice Location

  • 46 Redfield Pkwy
  • Batavia, NY 14020-1220

Phone: (585) 356-6255

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1255664710
Entity Type
Individual
Last Name
Proefrock
First Name
Colleen
Middle Name
Marie
Credential
PTA
Mailing Street Address
46 Redfield Pkwy
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-1220
Mailing Country
US
Mailing Phone
(585) 356-6255
Practice Street Address
46 Redfield Pkwy
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-1220
Practice Country
US
Practice Phone
(585) 356-6255
Enumeration Date
September 15, 2009
Last Updated
September 15, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)