Individual
MS. JUDITH MACIOLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., M.S.
Contact information
Practice address
2049 GEORGE URBAN BLVD, DEPEW, NY 14043-1823
(716) 901-8766
(716) 901-8800
Mailing address
102 WESTWIND LN, AMHERST, NY 14228-1890
(716) 472-5306
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
012225
NY
Other
Enumeration date
09/14/2010
Last updated
06/21/2019
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