Provider Demographics
NPI:1497825186
Name:PIETROWSKI, COLLEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:
Last Name:PIETROWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 YORK RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5121
Mailing Address - Country:US
Mailing Address - Phone:410-560-5661
Mailing Address - Fax:
Practice Address - Street 1:1840 YORK RD
Practice Address - Street 2:SUITE F
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5121
Practice Address - Country:US
Practice Address - Phone:410-560-5661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD001844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor