Provider Demographics
NPI:1205580982
Name:BABJAK, COLLEEN JANE (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:JANE
Last Name:BABJAK
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:129 S SPRING AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2846
Mailing Address - Country:US
Mailing Address - Phone:412-527-0531
Mailing Address - Fax:724-446-6008
Practice Address - Street 1:680 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4453
Practice Address - Country:US
Practice Address - Phone:724-689-1970
Practice Address - Fax:724-689-1989
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer